B cell chronic lymphocytic leukemia with florid reactive CD4+ T cell lymphocytosis in lymph nodes.

Abstract:

:This case is of an unusual florid reactive CD4+ T Cell lymphocytosis involving lymph node (LN) and overshadowing residual B chronic lymphocytic leukemia (CLL). A 65 year old female with a 9 year history of untreated B-CLL presented with weight loss, splenomegaly and lymphadenopathy. B-CLL was confirmed on the basis of peripheral blood lymphocytosis, bone marrow trephine findings and flow cytometry analysis. However, the LN biopsy showed appearances of a diffuse small lymphocytic population mimicking a leukemic T-cell infiltrate. Immunophenotyping and molecular analysis demonstrated the major cell population to be reactive CD4 positive T lymphocytes.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Busmanis I,Hussein S,Feleppa F,Rockman S,Begley CG

doi

10.3109/10428199309148519

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

153-6

issue

1-2

eissn

1042-8194

issn

1029-2403

journal_volume

9

pub_type

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