Paroxysmal nocturnal hemoglobinuria with acute leukemia.

نویسندگان

  • D Holden
  • H Lichtman
چکیده

T HE OCCURENCE of impaired marrow function in paroxysmal nocturnal hemoglobinuria (PNH) has long been recognized. A smaller group of patients, with an initial diagnosis of aplastic anemia, have been noted to develop signs of PNH during the course of their illness.1 Such persons have been said to have “the aplastic anemia-paroxysmal nocturnal hemoglobinuria syndrome.”2 Also evident, in some cases of aplastic anemia, has been the increased production of primitive leucocytes in the bone marrow. The resulting clinical picture is often that of an acute or “stern cell” leukemia. As a result of the foregoing observations, it has been postulated by Dameshek3 that any or all three of these conditions (PNH, aplastic anemia, and “hypoplastic” leukemia) might result from a “common” injury to the marrow. The following case report is believed to illustrate the occurrence of PNH and so-called acute “hypoplastic” leukemia.

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عنوان ژورنال:
  • Blood

دوره 33 2  شماره 

صفحات  -

تاریخ انتشار 1969