Development of rheumatoid arthritis after treatment of large granular lymphocyte leukemia with deoxycoformycin.

Abstract:

:The association of T-cell large granular lymphocyte (LGL) leukemia and rheumatoid arthritis is well described and it is now recognized that these patients and patients with Felty's syndrome represent different aspects of a single disease process. Most patients have rheumatoid arthritis at the time of diagnosis of LGL leukemia. This is the first detailed report of the development of rheumatoid arthritis after the diagnosis and treatment of LGL leukemia as well as the first report of rheumatoid arthritis that occurred in association with deoxycoformycin treatment. It is likely that the beneficial sustained normalization of neutrophil counts as a result of deoxycoformycin treatment played a significant role in the development of this complication. Hematological improvement occurred despite molecular genetic evidence of persistence of the abnormal T-cell clone. The role of the clonally expanded T cells in the pathogenesis of neutropenia and rheumatoid arthritis is discussed.

journal_name

Am J Hematol

authors

Yoe J,Gause BL,Curti BD,Longo DL,Bagg A,Kopp WC,Janik JE

doi

10.1002/(sici)1096-8652(199803)57:3<253::aid-ajh14

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

253-7

issue

3

eissn

0361-8609

issn

1096-8652

pii

10.1002/(SICI)1096-8652(199803)57:3<253::AID-AJH14

journal_volume

57

pub_type

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