Transition of polycythemia vera to chronic neutrophilic leukemia.

Abstract:

:Two cases of polycythemia vera (PV) had transition to a hematological condition compatible with chronic neutrophilic leukemia (CNL) 17 and 8 years after diagnosis, respectively. One patient was treated with carboquone followed by hydroxyurea (HU) and the other with HU during PV phase. On transition, both had neutrophilia with white blood cell count above 40,000/microl, elevated neutrophil alkaline phosphatase activity, splenomegaly, normal karyotype without bcr-abl rearrangement. Busulfan was temporally effective in controlling the neutrophil count. However, one patient progressed to the so-called spent phase and the other subsequently had multiple transitions between PV and CNL. These cases may represent a form of uncommon evolution of PV and support the contention that CNL is a type of myeloproliferative disorder and that at least some CNL cases have derangement at the hematopoietic stem cell level.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Higuchi T,Oba R,Endo M,Harada H,Mori H,Niikura H,Omine M,Fujita K

doi

10.3109/10428199909093744

keywords:

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

203-6

issue

1-2

eissn

1042-8194

issn

1029-2403

journal_volume

33

pub_type

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