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Clinical and laboratory features of preleukemia patients

施均 邵宗鸿 陈桂彬 李克 刘鸿 张益枝 和虹 赵明峰 何广胜 张泓 储榆林 郝玉书

中华医学杂志(英文版)2002,Vol.115Issue(1):3-7,5.
中华医学杂志(英文版)2002,Vol.115Issue(1):3-7,5.

Clinical and laboratory features of preleukemia patients

Clinical and laboratory features of preleukemia patients

施均 1邵宗鸿 1陈桂彬 1李克 1刘鸿 1张益枝 1和虹 1赵明峰 1何广胜 1张泓 1储榆林 1郝玉书1

作者信息

  • 1. First Department of Clinical Hematology, Blood Diseases Hospital, Chinese Academy of Medical Sciences, and Peking Union Medical College, Tianjin 300020, China
  • 折叠

摘要

Abstract

Objective To explore prospective diagnostic criteria for preleukemia.Methods A case control study was done comparing the discrepancies on clinical and laboratory features between patients with preleukemia and those with chronic aplastic anemia (CAA) or atypical paroxysmal nocturnal hemoglubinuria (a-PNH).Results There were eight variables of significance: (1) lymphocytoid micromegakaryocytes in the bone marrow; (2) immature granulocytes in the peripheral blood; (3) ≥2.0% myeloblasts in the bone marrow; (4) positive periodic acid schiff (PAS) stained nucleated erythrocytes; (5) myeloid differentiation index ≥1.8; (6) typical colonal karyotypic abnormalities; (7) negative sister chromatid differentiation; (8) cluster/colony ratio of granulocyte-macrophage colony-forming units (CFU-GM)>4.0. The following criteria were assigned: A: to meet variable one and at least two of the other seven variables and B: to meet at least four of the eight variables. All of the patients with preleukemia met either A or B and none of the patients with CAA or a-PNH did. Conclusions Preleukemia is different from CAA or a-PNH. It has its own clinical and laboratory features, which may be useful for its prospective diagnosis.

关键词

preleukemia/clinical and laboratory features/diagnosis

Key words

preleukemia/clinical and laboratory features/diagnosis

分类

医药卫生

引用本文复制引用

施均,邵宗鸿,陈桂彬,李克,刘鸿,张益枝,和虹,赵明峰,何广胜,张泓,储榆林,郝玉书..Clinical and laboratory features of preleukemia patients[J].中华医学杂志(英文版),2002,115(1):3-7,5.

基金项目

This study was supported by grants from the Chinese Academy of Medical Sciences (No. 952040) and Chinese Ministry of Health (No. 0007). (No. 952040)

中华医学杂志(英文版)

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