A lymphocyte count is usually part of a peripheral
complete blood cell count and is expressed as the percentage of lymphocytes to the total number of white blood cells counted. A general increase in the number of lymphocytes is known as
lymphocytosis, whereas a decrease is known as
lymphocytopenia.
High An increase in lymphocyte concentration is usually a sign of a
viral infection (in some rare cases,
leukemias are found through an abnormally raised lymphocyte count in an otherwise normal person). A high lymphocyte count with a low
neutrophil count might be caused by
lymphoma.
Pertussis toxin (PTx) of
Bordetella pertussis, formerly known as lymphocytosis-promoting factor, causes a decrease in the entry of lymphocytes into lymph nodes, which can lead to a condition known as lymphocytosis, with a complete lymphocyte count of over 4000 per
μl in adults or over 8000 per μl in children. This is unique in that many bacterial infections illustrate neutrophil-predominance instead.
Lymphoproliferative disorders Lymphoproliferative disorders (LPD) encompass a diverse group of diseases marked by uncontrolled lymphocyte production, leading to issues like lymphocytosis, lymphadenopathy, and bone marrow infiltration. These disorders are common in immunocompromised individuals and involve abnormal proliferation of T and B cells, often resulting in immunodeficiency and immune system dysfunction. Various gene mutations, both iatrogenic and acquired, are implicated in LPD. One subtype, X-linked LPD, is linked to mutations in the X chromosome, predisposing individuals to natural killer cell LPD and T-cell LPD. Additionally, conditions like common variable immunodeficiency (CVID), severe combined immunodeficiency (SCID), and certain viral infections elevate the risk of LPD. Treatment methods, such as immunosuppressive drugs and tissue transplantation, can also increase susceptibility. LPDs encompass a wide array of disorders involving B-cell (e.g., chronic lymphocytic leukemia) and T-cell (e.g., Sezary syndrome) abnormalities, each presenting distinct challenges in diagnosis and management.
Low A low normal to low absolute lymphocyte concentration is associated with
increased rates of infection after surgery or trauma. One basis for low T cell lymphocytes occurs when the
human immunodeficiency virus (HIV) infects and destroys T cells (specifically, the
CD4+ subgroup of T lymphocytes, which become helper T cells). Without the key defense that these T cells provide, the body becomes susceptible to
opportunistic infections that otherwise would not affect healthy people. The extent of HIV progression is typically determined by measuring the percentage of CD4+ T cells in the patient's blood – HIV ultimately progresses to
acquired immune deficiency syndrome (AIDS). The effects of other
viruses or lymphocyte disorders can also often be estimated by counting the numbers of lymphocytes present in the
blood.
Tumor-infiltrating lymphocytes In some cancers, such as
melanoma and
colorectal cancer, lymphocytes can migrate into and attack the
tumor. This can sometimes lead to regression of the primary tumor.
Lymphocyte-variant hypereosinophilia ==Blood content==