Persistent polyclonal lymphocytosis with binucleated B lymphocytes: a genetic predisposition.

Abstract:

:Persistent lymphocytosis is usually associated with a malignant lymphoproliferative disease (MLPD). We report six female patients presenting a chronic, moderate lymphocytosis of 2-16 years duration with atypical binucleated lymphocytes on peripheral blood smears. Further investigation showed a polyclonal increase in serum IgM and HLA-DR7 phenotype in all patients. The B cells were polyclonal because Southern hybridization of DNA and polymerase chain reaction failed to demonstrate a clonal rearrangement of immunoglobulin heavy chain genes. Peripheral blood examination showed binucleated lymphocytes in a family member of two of the cases; taken together with the association with HLA-DR7 these data suggest a genetic predisposition. The identification of this benign syndrome is important in order to prevent its misdiagnosis as a MLPD.

journal_name

Br J Haematol

authors

Troussard X,Valensi F,Debert C,Maynadie M,Schillinger F,Bonnet P,Macintyre EA,Flandrin G

doi

10.1111/j.1365-2141.1994.tb05018.x

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

275-80

issue

2

eissn

0007-1048

issn

1365-2141

journal_volume

88

pub_type

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