A case of immune neutropenia following unrelated stem cell transplantation
for chronic myeloid leukaemia is described. The neutropenia developed follo
wing herpes tester viral infection and was associated with antibodies to th
e human neutrophil antigen (HNA)-2a (formerly known as NB1). The neutropeni
a was prolonged, profound and unresponsive to granulocyte colony-stimulatin
g factor (GCSF). The neutrophil count recovered after GCSF was discontinued
. HNA-2a has been reported to be upregulated following GCSF administration.
In the present case, it appears that the immune neutropenia may have been
perpetuated by GCSF administration.