Clinical and laboratory observation
Nucleated erythrocytes in healthy infants and in infants of diabetic mothers1

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    2019, Journal of Pediatrics
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    On admission to our newborn nursery, all neonates with suspected or known Down syndrome undergo a routine complete blood count to rule out thrombocytopenia, polycythemia, or myeloproliferative disorder,1 which includes a count of nucleated red blood cells (NRBCs) using fluorescence flow cytometry (Sysmex XE-2100 or Sysmex XN-1000; Sysmex Corporation, Kobe, Japan). We previously showed that leukocyte and NRBC counts are interdependent11 such that the traditional expression of NRBCs as their number per 100 white blood cells might introduce a significant bias. Therefore, we expressed the number of nucleated RBC as absolute NRBC (aNRBC) count rather than per 100 white blood cells.11

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    Nucleated RBCs were counted by manual microscopy and were expressed per 100 white blood cells. Since leukocyte count and absolute nRBC number are dependent [17], the traditional expression of nRBCs as the number per 100 WBCs might introduce a significant bias. Therefore, the number of nRBCs was expressed, as previously published, as an absolute number rather than per 100 leukocytes, and the WBC count was corrected for the presence of nRBCs [18,19].

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1

Supported in part by National Institutes of Health (NIH) grant No. HD 11725, a Diabetes in Pregnancy program project grant, U.S. Public Health Service Training in perinatal Care and Research grant No. MCH MCT 000174, NIH Clinical Research Center grant No. RR00068, NIH Perinatal Emphasis Research Center grant No. HD 20748, and The Perinatal Research Institute.

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