Title |
Atypical aleukemic presentation of large granular lymphocytic leukemia: a case report
|
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Published in |
OncoTargets and therapy, December 2016
|
DOI | 10.2147/ott.s115892 |
Pubmed ID | |
Authors |
Cristina Bagacean, Adrian Tempescul, Mariana Patiu, Bogdan Fetica, Horia Bumbea, Mihnea Zdrenghea |
Abstract |
Large granular lymphocytic leukemia (LGLL) is a rare lymphoproliferative disorder of transformed natural killer or T-cells attributed to chronic exposure to the proinflammatory cytokine IL-15. Diagnosis of the majority of T-cell LGLL is established by documenting clonal large granular lymphocytes (LGLs) in peripheral blood, by morphology and immunophenotype. The proteasome inhibitor bortezomib is known to target molecular pathways downstream of the IL-15 receptor signaling and has been proposed as a therapy in these patients. We report an uncommon presentation of LGLL with chronic neutropenia lacking typical blood LGLs, which failed to respond to bortezomib but obtained a very good partial remission with a classical methotrexate regimen. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 8 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 2 | 25% |
Other | 1 | 13% |
Lecturer | 1 | 13% |
Professor | 1 | 13% |
Student > Ph. D. Student | 1 | 13% |
Other | 1 | 13% |
Unknown | 1 | 13% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 3 | 38% |
Nursing and Health Professions | 1 | 13% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 13% |
Immunology and Microbiology | 1 | 13% |
Agricultural and Biological Sciences | 1 | 13% |
Other | 0 | 0% |
Unknown | 1 | 13% |