[T-large granular lymphocyte leukaemia. An important differential diagnosis to Felty's syndrome].

Abstract:

:T-Large Granular Lymphocyte (T-LGL) leukaemia is a rare clonal disease characterized by neutropenia and/or anaemia. Because of its strong association with rheumatoid arthritis (RA), T-LGL leukaemia is an important differential diagnosis to Felty's syndrome. This differentiation might be especially difficult since, in severe RA with extraarticular manifestations, there is often an expanded memory effector T-cell population which can hardly be separated from T-LGL leukaemia cells by means of immunophenotyping. The main criterion for T-LGL leukaemia is the detection of a clonal T-cell-receptor rearrangement by PCR. First-line therapy consists of weekly low-dose methotrexate. Alternatively, other immunosuppressives or cytotoxic agents can be useful. There are very limited data from therapy studies. The German CLL study group has initiated a protocol using parenteral low-dose methotrexate as first-line therapy and fludarabine as second-line medication.

journal_name

Z Rheumatol

authors

Moosig F,Schoch R,Kneba M

doi

10.1007/s00393-005-0013-4

keywords:

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

447-51

issue

5

eissn

0340-1855

issn

1435-1250

journal_volume

65

pub_type

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