[Hairy cell leukemia: its clinical evolution, prognostic factors and therapeutic results. A prospective study].
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Biomedical subjects
Publications and source records attributed to C Ursea.
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Cytochemical and cytogenetic studies were carried out in 4 patients with chronic myeloproliferative disorders. These corresponded only partially to the clinical and hematologic criteria for the diagnosis of hemorrhagic thrombocythemia (HT), yet with a low leukocyte alkaline phosphatase (LAP) level and in the presence of the Ph1 positive 46, XX, mitoses. The authors discuss the significance of the presence of the Ph1 chromosome as well as the possibility of transition forms among chronic myeloproliferative disorders.
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Some peculiar ultrastructural aspects of hairy cells obtained from the examination with SEM and TEM are presented. Images of erythrocyte rosette-formation around hairy cells in spleen as well as some additional data on the biogenesis of ribosome-lamellae complexes are reported. Some considerations on the origin of hairy cells are added.
The case of two sisters is reported in whom morphological (multinucleated erythroblasts in the bone marrow) and serological (positive Ham test, negative sucrose and water-sugar tests) characteristics of a congenital dyserythropoietic anemia type II were found. Radioautographic, cytogenetic and electron microscope studies confirmed the presence of an inefficient erythropoiesis and of a membrane defect, common in this disease. The finding of a nil LAP score has never been reported so far.