Contributors, xix
Foreword, xxiii
Preface, xxv
Acknowledgments, xxvii
Introduction, xxix
PART I Non-neoplastic Hematology 1
CHAPTER ONE Non-neoplastic Disorders of White Blood Cells 3
Rebecca A. Levy, Vandita P. Johari, and Liron Pantanowitz
Overview of WBC Production and Function, 3
Quantitative Disorders of WBCS, 6
Qualitative Disorders of WBCS, 21
References, 26
CHAPTER TWO Non-neoplastic Disorders of Platelets 31
Lija Joseph
Platelet Production Structure and Function, 31
Quantitative Disorders of Platelets, 33
Qualitative Disorders of Platelets, 39
References, 43
CHAPTER THREE Approach to Disorders of Red Blood Cells 45
Jason C. Ford
Introduction, 45
The Anemias, 45
The Approach to Anemia, 50
The Polycythemias, 63
References, 63
CHAPTER FOUR Microcytic, Normocytic, and Macrocytic Anemias 65
Reza Setoodeh and Loveleen C. Kang
Microcytic Anemias, 65
Normocytic Anemias, 74
Macrocytic Anemias, 81
References, 86
CHAPTER FIVE Disorders of Hemoglobin 89
Parul Bhargava
Overview, 89
Quantitative Disorders of Hemoglobin, 89
Qualitative Disorders of Hemoglobin, 97
Mixed-Quantitative Qualitative Disorders of Hemoglobin, 104
Double Heterozygous States, 105
Approach to Diagnosis of Hemoglobin Disorders, 106
References, 111
PART II Infectious Aspects of Hematology 113
CHAPTER SIX Apicomplexal Parasites of Peripheral Blood, Bone Marrow, and
Spleen: The Genera Plasmodium, Babesia, and Toxoplasma 115
Lynne S. Garcia
Plasmodium, 115
Babesia, 125
Toxoplasma, 128
References, 134
CHAPTER SEVEN Blood and Tissue Flagellates of the Class Kinetoplastidea:
The Genera Leishmania and Trypanosoma 139
Raul E. Villanueva and Stephen D. Allen
Leishmaniasis, 139
Chagas' Disease, 145
African Trypanosomiasis, 150
References, 155
CHAPTER EIGHT Proteobacteria and Rickettsial Agents: Human Granulocytic
Anaplasmosis and Human Monocytic Ehrlichiosis 159
Sheldon Campbell and Tal Oren
Microbiology and Epidemiology of HGA and HME, 159
Clinical Syndromes, 160
Differential Diagnosis, 160
Diagnostic Approach, 161
Prevention and Treatment, 163
References, 163
CHAPTER NINE Clinically Significant Fungal Yeasts 165
Ramon L. Sandin
Introduction, 165
Histoplasma capsulatum var. capsulatum (H. capsulatum), 166
Blastomyces dermatitidis, 170
Coccidioides immitis, 174
Cryptococcus neoformans, 178
Candida albicans and other Candida Species, 183
Malassezia furfur, 188
References, 193
CHAPTER TEN Hematologic Aspects of Tropical Infections 195
Deniz Peker
Anemia in Tropical Infections, 195
Vascular Purpuras, 202
References, 203
PART III Non-neoplastic Lymph Node Pathology and Infections 205
CHAPTER ELEVEN Classification of Reactive Lymphadenopathy 207
Hernani D. Cualing
Introduction, 207
References, 229
CHAPTER TWELVE Lymph Node Biology, Markers and Disease 231
Hernani D. Cualing
Peripheral Lymphoid Tissue, 231
Pathophysiology, 231
Cortex, 232
Paracortex, 240
Sinus Histiocytes, 242
Epithelioid Histiocytes
and Granulomas, 243
Nodal Framework, 243
References, 246
CHAPTER THIRTEEN Lymphadenopathy with Predominant Follicular Patterns 249
Shohreh Iravani Dickinson, Jun Mo, and Hernani D. Cualing
Germinal Center Hyperplasia, 249
Regressive Transformation of Germinal Center (Atrophic) Pattern, 256
Progressive Transformation of Germinal Center Pattern, 267
Marginal Zone Hyperplasia and Mantle Cell Hyperplasia, 273
Reactive Follicular Pattern, Mixed with Other Patterns, Specific Entities,
276
Mixed Pattern with Follicular Hyperplasia, Microgranulomas, Monocytoid
Hyperplasia, 278
Follicular Hyperplasia with Capsular Fibrosis and Plasmacytosis-Syphilis,
282
References, 284
CHAPTER FOURTEEN Reactive Lymphadenopathy with Paracortical Pattern,
Noninfectious Etiology 291
Ling Zhang and Jeremy W. Bowers
Paracortical Hyperplasia, 291
Dermatopathic Lymphadenopathy, 297
Reactive Immunoblastic Proliferation, 301
Postvaccinal Lymphadenitis, 307
Drug-Induced Lymphadenopathy, 309
Anticonvulsant (Phenytoin)-Related Lymphoproliferative Disorder, 309
Methotrexate-Related Lymphoproliferative Disorder, 312
References, 315
CHAPTER FIFTEEN Reactive Lymphadenopathy with Diffuse Paracortical
Pattern-Infectious Etiology 323
Jeremy W. Bowers and Ling Zhang
Introduction, 323
Infectious Mononucleosis Lymphadenitis, 323
Cytomegalovirus Lymphadenitis, 329
Herpes Simplex Virus Lymphadenitis, 333
Varicella Zoster Lymphadenitis, 337
References, 340
CHAPTER SIXTEEN Reactive Lymphadenopathy with Sinus Pattern 347
Hernani D. Cualing
Sinuses and Vascular Supply, 347
Sinus Histiocytosis, Nonspecific, 347
Signet Ring Histiocytosis, 354
Sinus Histiocytosis with Massive Lymphadenopathy (or Rosai-Dorfman
Disease), 355
Pigmented Sinus Histiocytic Pattern Secondary to Iron Overload from
Hemochromatosis, Transfusion, or Hemolysis, 357
Histiocytic Reaction to Foreign Matter, 359
Sinus Pattern from Extramedullary Hematopoiesis, 361
Immature "Sinus Histiocytosis" or Monocytoid B-Cell Hyperplasia, 363
Reactive Hemophagocytic Syndromes, 365
Vascular Transformation of Sinuses (VTS), 366
Whipple's Disease (WD) Lymphadenopathy, 368
References, 370
CHAPTER SEVENTEEN Mixed Lymph Node Patterns: Stromal and Histiocytic
Reactions, NonInfectious 375
Hernani D. Cualing
Proteinaceous Lymphadenopathy Including Immunoglobulin Deposition
Lymphadenopathy, 375
Lymph Node Fibrosis or Fibrotic Changes, Nonspecific, 377
Inflammatory Pseudotumor of Lymph Nodes, 379
Fatty Replacement or Fatty Changes, Nonspecific, 383
Tumor Reactive Granulomatas, 384
References, 386
CHAPTER EIGHTEEN Mixed Lymph Node Patterns: Including Granulomatous
Lymphadenopathy, Noninfectious 389
Xiaohui Zhang and Hernani D. Cualing
Mixed Pattern with Follicular Hyperplasia and Eosinophilia, 389
Mixed Nonnecrotizing ''Dry'' Granulomas, 396
Mixed Pattern with Hemorrhage and Infarction, 404
Mixed Necrotizing Pattern with No or Minimal Granulomas, 406
Necrotizing Nonsuppurative Granulomatas, 410
Necrotizing Suppurative Granulomatas, 413
Granulomatous Change within Germinal Centers, 415
Mixed Pattern with Plasmacytosis, 418
References, 420
CHAPTER NINETEEN Mixed Patterns in Lymph Node, Suppurative Necrotizing
Granulomatous Infectious Lymphadenopathy 427
Hernani D. Cualing and Gary Hellerman
Cat-Scratch Disease, 427
Tularemia, 431
Lymphogranuloma venereum, 433
Chancroid, H. ducreyi, 434
Yersinia enterocolitica/pseudotuberculosis Lymphadenitis, 435
Brucellosis, 437
Melioidosis, 439
Typhoid Lymphadenitis (Salmonella typhi), 442
References, 444
CHAPTER TWENTY Mixed Patterns: Emergent/Tropical Infections with
Characterized Lymphadenopathy 447
Hernani D. Cualing
Mixed Pattern with Granulomatas and Diagnostic Microorganisms, 447
Lymphadenopathy Secondary to Localized Filariasis, 449
Schistosomiasis, 453
Leishmaniasis, 454
Mixed Pattern with Granulomas and Foamy Macrophages, 457
Mixed Pattern with Deposition of Interstitial Substance, 459
Mixed Pattern with Caseation Necrosis, 461
Mixed Pattern Atypical Mycobacterial Infections in AIDS, 463
Mixed Pattern with Angiomatoid Change, 467
Mixed Pattern with Spent Granulomas and Extracellular Organisms, 470
African Histoplamosis Secondary to H. capsulatum var duboisii, 474
References, 476
CHAPTER TWENTY-ONE Cytopathology of Non-neoplastic and Infectious
Lymphadenopathy 481
Sara E. Monaco, Liron Pantanowitz, and Walid E. Khalbuss
Technical Components, 483
Approach to Cytomorphologic Evaluation of Lymph Nodes, 484
FNA Reporting Terminology, 485
Intraoperative Touch Preparation, 487
Reactive Lymphoid Hyperplasia, 487
Inflammatory and Infectious Causes of Lymphadenopathy, 488
Other Causes of Lymphadenopathy, 497
Lymphadenopathy in the Pediatric Patient, 504
Use of Ancillary Studies, 504
Molecular Studies, 506
References, 506
CHAPTER TWENTY-TWO Mixed Patterns In Lymph Node: Tropical Infectious
Lymphadenopathy and Hematopathology, Not Otherwise Characterized 511
Hernani D. Cualing
Introduction, 511
Hemorrhagic Lymphadenopathy, 511
Sinus Pattern, 517
Diffuse Pattern with Depletion and Atypical Immunoblastic Reaction, 525
Unusual Granulomas Q Fever, 531
References, 533
PART IV Non-neoplastic Findings in Bone Marrow Transplantation 537
CHAPTER TWENTY-THREE Non-neoplastic Hematopathology of Bone Marrow
Transplant and Infections 539
Taiga Nishihori and Ernesto Ayala
Introduction, 539
Fundamental Principles of Hematopoietic Cell Transplantation (HCT), 539
Characteristics of Pretransplant Bone Marrow, 542
Hematopoietic Regeneration, 542
Chimerism, 543
Post-Transplantation Marrow, 543
Complications of Hematopoietic Regeneration, 547
Conclusion, 551
References, 552
Index, 559