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Myeloperoxidase deficiency. Increased sensitivity for immunocytochemical compared to cytochemical detection of enzyme.

The discovery of hereditary deficiency of myeloperoxidase (MPO) in neutrophils and monocytes of affected individuals has been based on the absence of cytochemical staining in these peripheral blood cells. We report that an immunocytochemical method shows more sensitivity than either the benzidine or 4-chloro-1-naphthol cytochemical methods. In MPO-deficient subjects, immunocytochemistry detects a marked decrease, but not absence, of MPO.