Relationship between autoimmune phenomena and disease stage and therapy in B-cell chronic lymphocytic leukemia.

نویسندگان

  • Wilma Barcellini
  • Silvana Capalbo
  • Rosa Maria Agostinelli
  • Francesca Romana Mauro
  • Achille Ambrosetti
  • Rossella Calori
  • Agostino Cortelezzi
  • Luca Laurenti
  • Enrico Maria Pogliani
  • Paola Pedotti
  • Vincenzo Liso
  • Gabriella Girelli
  • Franco Mandelli
  • Alberto Zanella
چکیده

The aim of this multicenter GIMEMA study was to correlate autoimmune complications (AIC) in B-cell chronic lymphocytic leukemia (B-CLL) with stage and therapy. Autoimmune hemolytic anemia (129/194 cases) and autoimmune thrombocytopenia (35/194 cases) were typically present in advanced and multi-treated disease. Age over the median, stage C and first and second line therapy were identified as independent risk factors by multivariate analysis. In contrast, non-hematologic AIC (30/194 cases) and the presence of serological markers of autoimmunity were mostly observed in early B-CLL, suggesting different pathogenic mechanisms underlying hematologic and non-hematologic autoimmune phenomena in B-CLL.

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عنوان ژورنال:
  • Haematologica

دوره 91 12  شماره 

صفحات  -

تاریخ انتشار 2006