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Ethnic Identity within a Larger Culture01:27

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Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
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Benign ethnic neutropenia.

Suheil Albert Atallah-Yunes1, Audrey Ready1, Peter E Newburger2

  • 1Department of Medicine, University of Massachusetts Medical School, Baystate Medical Center, Springfield, MA 01103, USA.

Blood Reviews
|July 1, 2019
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Summary

Benign ethnic neutropenia (BEN) is common in certain ethnicities but often misdiagnosed. This review clarifies BEN, aiding physicians in distinguishing it from serious conditions and guiding patient management.

Keywords:
Benign ethnic neutropeniaDARC geneDuffy antigen

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Area of Science:

  • Hematology
  • Genetics
  • Clinical Medicine

Background:

  • Benign ethnic neutropenia (BEN) is a prevalent cause of chronic neutropenia in individuals of African, Middle Eastern, and West Indian descent.
  • Physician unfamiliarity with BEN leads to unnecessary diagnostic evaluations for otherwise healthy individuals.
  • Patients with BEN do not exhibit an increased risk of infection.

Purpose of the Study:

  • To provide a comprehensive overview of benign ethnic neutropenia.
  • To guide clinical decision-making regarding the workup and monitoring of neutropenia in at-risk populations.
  • To review the genetic basis, proposed mechanisms, and implications of BEN, particularly in oncology.

Main Methods:

  • Literature review encompassing clinical presentation, diagnostic criteria, and genetic associations of BEN.
  • Analysis of existing studies on BEN's impact on patients undergoing chemotherapy.
  • Synthesis of current understanding of BEN's pathophysiology and clinical significance.

Main Results:

  • BEN is a common, benign condition often mistaken for more serious causes of neutropenia.
  • Patients with BEN have similar infection risks to those with normal neutrophil counts.
  • BEN may influence survival disparities observed in chemotherapy patients of African descent.

Conclusions:

  • Accurate identification of BEN is crucial to avoid unnecessary medical interventions.
  • Further research is needed to understand BEN's role in patients receiving chemotherapy and other medications causing neutropenia.
  • Genetic factors play a significant role in the pathophysiology of BEN.