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Leukocytes in the blood

, medical expert
Last reviewed: 04.07.2025
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Leukocytes in the blood are one of the most important elements of the blood, white, as they are commonly called, blood cells are actually colorless. They are very diverse in structure and have many types and subtypes.

The name has Greek roots: leuko's means white, and ky'tos means cell. White blood cells have a nuclear structure, and the nuclei can be completely different in shape - multi-lobed, rounded or kidney-shaped. Their size is also variable - from 6 to 20 microns. Leukocytes in the blood have their own normal limits, in an adult these limits look like this: 4000 - 9000 in 1 microliter. A decrease in their level is called leukopenia, and an increase is leukocytosis.

White blood cells are formed in the main organ of hematopoiesis – bone marrow. Analytical blood tests study quantitative and percentage indicators, reading them out according to the leukocyte formula (leukogram). Leukocytes in the blood have types and subtypes (granulocytes, agranulocytes and neutrophils, eosinophils, basophils, monocytes, lymphocytes), which participate in various links of the protective process. Therefore, any changes in the leukogram provide detailed information about the disease and help to specify the diagnosis.

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When white blood cells are elevated

Leukocytes in the blood are elevated (leukocytosis) most often due to physiological and pathological factors. An increase is considered to be such a shift in the leukocyte formula - more than 9.0 x 109/l.

Physiological factors for increasing leukocytes in the blood

  • Digestive – a natural phenomenon 2-3 hours after eating.
  • Associated with physical overexertion.
  • Thermal – temperature contrasts, such as hot and cold showers.
  • Psycho-emotional.
  • Associated with pregnancy or the menstrual cycle.

For these reasons, in order to ensure the purity of analytical information, all tests for leukocytes in the blood are carried out strictly on an empty stomach, excluding physical and emotional overload, as well as various water contrast procedures.

Pathological factors of increasing leukocytes in the blood

Infectious diseases:

  • Inflammation of the bronchopulmonary system – bronchitis, pneumonia, pleurisy.
  • Inflammatory diseases of the hearing apparatus – otitis, neuritis of the auditory nerve.
  • Infectious diseases of the skin, mucous membranes – erysipelas, exfoliative dermatitis.
  • Inflammatory diseases of the brain, spinal cord – meningitis, encephalitis, AGM – brain abscess.

Purulent processes of various etiologies and localizations:

  • Pleurisy, empyema.
  • Peritonitis, appendicitis, pancreatitis in the acute stage.

Purulent processes in the subcutaneous tissue – abscesses, panaritium, phlegmon.

  • Oncoprocess.
  • Lymphoblastic leukemia.
  • Myeloblastic leukemia.

Other diseases, injuries:

  • Burns.
  • Heart attack.
  • Infarction of the spleen, kidneys, lungs.
  • Blood loss, including after surgery.
  • Renal failure.
  • Diabetic coma.

Leukocytes in the blood are a fundamental indicator of the protective barrier, the activity of the protective function in principle, therefore the slightest inflammation in any organ or system leads to an increase in white blood cells.

When white blood cells are low

Leukocytes in the blood are reduced (leukopenia) - this is a shift in the leukocyte formula below 4.0 x 10 9 /l, which means a significant decrease in the activity of the formation of these cells by the bone marrow. Much less often, white blood cells are reduced as a result of collapse, shock, when they are destroyed in the vascular system.

Factors that contribute to a decrease in leukocytes in the blood:

  • Radiation, irradiation - damage to bone marrow.
  • Drug intoxication – analgesics, NSAIDs, sulfonamides, drugs for the management of oncological processes – methotrexate, cyclophosphamide, vincristine, drugs for the management of the thyroid gland – mercazolil, potassium perchlorate.
  • Hypoplastic and aplastic pathology.
  • Cirrhosis.
  • Lymphogranulomatosis.
  • Tuberculosis.
  • Splenomegaly.
  • Syphilis.
  • Typhoid fever.
  • TORCH infections (rubella, less commonly cytomegalovirus).
  • Hepatitis.
  • SLE – systemic lupus erythematosus.
  • Anemia associated with vitamin B12 deficiency.
  • Oncological process with metastases to the bone marrow.
  • Initial stage of leukemia.

Agranulocytosis is considered the most dangerous, in which leukocytes in the blood decrease to a critical level. With such a quantitative indicator, the body becomes practically defenseless against any infection.

Leukocytes in the blood are an important diagnostic indicator, but the functions they perform are much more important and significant. The protective barrier, phagocytosis and many other types of activity that these cells perform allow the human body to cope with many diseases on its own.

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