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Related Concept Videos

Classification of Leukocytes01:30

Classification of Leukocytes

Leukocytes are classified into two groups based on the presence or absence of cytoplasmic granules. Granular leukocytes, which contain granules, belong to the myeloid lineage and are divided into three subtypes: neutrophils, eosinophils, and basophils. These cells are roughly spherical and characterized by the granules in their cytoplasm.
Neutrophils are the most abundant type of granular leukocytes, comprising 50-70% of all leukocytes. They feature small, evenly distributed granules and a...
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Leukocyte disorders can lead to either leukopenia, characterized by an abnormally low leukocyte count, or leukocytosis, marked by a very high leukocyte number.
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Accessory Structures of the Skin: Nails01:05

Accessory Structures of the Skin: Nails

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Endocarditis II: Clinical Features of Infective Endocarditis01:25

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Related Experiment Video

Updated: Jul 13, 2026

Measuring Granulocyte and Monocyte Phagocytosis and Oxidative Burst Activity in Human Blood
11:29

Measuring Granulocyte and Monocyte Phagocytosis and Oxidative Burst Activity in Human Blood

Published on: September 12, 2016

Toenails and agranulocytosis.

P I Pillans1, I W Boyd

  • 1Department of Clinical Pharmacology, Princess Alexandra Hospital, Brisbane, Queensland, Australia. peter_pillans@health.qld.gov.au

Internal Medicine Journal
|July 21, 2007
PubMed
Summary
This summary is machine-generated.

Terbinafine can cause severe neutropenia (low white blood cell count), a rare but serious side effect. Early recognition and drug withdrawal are crucial for patient recovery.

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Area of Science:

  • Dermatology
  • Hematology
  • Pharmacology

Background:

  • Terbinafine is a widely used antifungal medication for skin and nail infections.
  • Granulocytopenia, including severe neutropenia and agranulocytosis, is a rare but potentially life-threatening adverse effect.
  • Understanding the clinical presentation and management of terbinafine-induced neutropenia is essential.

Observation:

  • A study reviewed 12 Australian cases of granulocytopenia linked to terbinafine use.
  • Patients were predominantly older women, with a mean age of 64 years.
  • Neutropenia typically developed within 4-5 weeks of terbinafine initiation and was often severe.

Findings:

  • Most cases presented with severe neutropenia (neutrophil counts < or = 0.3 x 10(3)/mm3).
  • Symptoms included fatigue, fever, sore throat, and mouth ulceration.
  • One patient died from septic shock, while others required hospitalization, antibiotics, or granulocyte colony-stimulating factor.

Implications:

  • Terbinafine use can be associated with severe, rarely fatal, granulocytopenia.
  • Prompt discontinuation of terbinafine and management of neutropenia are critical.
  • Patients must be educated about the warning signs of this adverse reaction.