Hematology

Neutrophil Hypersegmentation: Causes and Diagnostic Criteria

Criteria for neutrophil hypersegmentation in blood smears. Diagnostic significance in vitamin B12 deficiency, folic acid deficiency, MDS, and other pathologies.

Neutrophil Hypersegmentation. Hypersegmentation of segmented neutrophils means the nucleus has more than five lobes connected by a thin chromatin filament. Hypersegmentation is defined when any neutrophil has more than 6 lobes or more than 3% of neutrophils have more than 5 lobes. Neutrophils showing grape-like nuclei (botryoid neutrophil) are observed in cases of severe burns, hyperthermia, and cocaine abuse. Some other causes of hypersegmentation include: megaloblastic (pernicious) anemia; vitamin B12 and folic acid deficiency; macrocytic anemia; myelodysplastic syndrome; leukemias; purulent-inflammatory infections; radiation sickness; chemotherapy.

🙏 Photos and description kindly provided by biologist Anna Feditskaya, Luhansk