Bone marrow aplasia with prominent atypical plasmacytic proliferation preceding acute lymphoblastic leukemia.

Abstract:

:A two-year-old boy presented with pancytopenia. Bone marrow examination revealed an aplastic marrow with prominent immature plasma cell proliferation, which mimicked plasma cell leukemia. Immunohistochemistry, however, revealed a polyclonal population consistent with a reactive process, excluding plasma cell neoplasia. Administration of granulocyte-colony stimulating factor resulted in recovery of normal hematopoiesis with resolution of plasmacytosis. Seven months later, the patient had an elevated white blood cell count and bone marrow findings diagnostic of acute lymphoblastic leukemia. To the best of our knowledge this is the first reported case of bone marrow aplasia with prominent polyclonal plasmacytosis presenting as a prodrome of acute lymphoblastic leukemia in childhood.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Kikuchi M,Ohsaka A,Chiba Y,Sato M,Muraosa Y,Hoshino H

doi

10.3109/10428199909145722

keywords:

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

213-7

issue

1-2

eissn

1042-8194

issn

1029-2403

pii

I308J991023

journal_volume

35

pub_type

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