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儿童嗜酸性粒细胞白血病伴氯乙酸酯酶阳性颗粒(作者译)

[Eosinophilic leukaemia with chloroacetate-esterase-positive granules in a child (author's transl)].

作者信息

Löffler H, Lück R, Ali S S

出版信息

Dtsch Med Wochenschr. 1975 Oct 10;100(41):2092-8. doi: 10.1055/s-0028-1106506.

DOI:10.1055/s-0028-1106506
PMID:1164879
Abstract

Eosinophilic leukaemia was diagnosed in a 13-year-old boy with clinical and haematological signs of acute leukaemia. A positive naphthol-AS-D-chloroacetate esterase reaction was present in 93% of bone marrow eosinophils. This confirms earlier findings for this sub-group of leukaemia in adultsmcharcot-Leyden's crystals were found in bone marrow, and the eosinophils were further characterized by other cytochemical and electronmicroscopic studies. Only short remission periods were achieved, the patient dying 53 weeks after diagnosis. Attacks of cardiac arrhythmias, thought to be due to adriamycin treatment, were probably related to thrombi in the coronary arteries as a result of disseminated intravascular coagulation. It is thought that eosinophilic leukaemia with a positive naphthol-AS-D-chloroacetate esterase reaction is a variant of acute myeloid leukaemia.

摘要

一名13岁男孩被诊断为嗜酸性粒细胞白血病,伴有急性白血病的临床和血液学体征。93%的骨髓嗜酸性粒细胞中存在萘酚-AS-D-氯乙酸酯酶反应阳性。这证实了成人白血病这一亚组的早期研究结果,在骨髓中发现了夏科-莱登结晶,并通过其他细胞化学和电子显微镜研究对嗜酸性粒细胞进行了进一步表征。仅获得了短暂的缓解期,患者在诊断后53周死亡。被认为是由阿霉素治疗引起的心律失常发作,可能与弥散性血管内凝血导致的冠状动脉血栓有关。据认为,萘酚-AS-D-氯乙酸酯酶反应阳性的嗜酸性粒细胞白血病是急性髓细胞白血病的一种变体。

相似文献

1
[Eosinophilic leukaemia with chloroacetate-esterase-positive granules in a child (author's transl)].儿童嗜酸性粒细胞白血病伴氯乙酸酯酶阳性颗粒(作者译)
Dtsch Med Wochenschr. 1975 Oct 10;100(41):2092-8. doi: 10.1055/s-0028-1106506.
2
[Cytochemistry of leukocytes in children. IV. The use of cytochemical tests in the differentiation and prognostic evaluation of acute leukemias].[儿童白细胞的细胞化学。IV. 细胞化学检测在急性白血病鉴别诊断及预后评估中的应用]
Folia Haematol Int Mag Klin Morphol Blutforsch. 1975;102(4):389-402.
3
[About the acute promyelocytic leukaemia (author's transl)].关于急性早幼粒细胞白血病(作者译)
Nouv Rev Fr Hematol. 1973 Nov-Dec;13(6):755-60.
4
[The cytochemial type of leukaemia as a prognostic factor in acute leukaemia (author's transl)].
Klin Wochenschr. 1974 Feb 1;52(3):134-7. doi: 10.1007/BF01620751.
5
[The treatment of disseminated intravascular coagulation in 18 cases of promyelocytic acute leukaemia (author's transl)].
Nouv Rev Fr Hematol. 1973 Nov-Dec;13(6):761-70.
6
Cytochemical stainings in acute promyelocytic leukemia: chloroacetate esterase reaction as a prognostic index.急性早幼粒细胞白血病中的细胞化学染色:氯乙酸酯酶反应作为一项预后指标。
J Med Assoc Thai. 1991 Feb;74(2):87-91.
7
[Connatal leukaemia and pseudoleukaemia--two cases with cytochemical findings (author's transl)].先天性白血病和类白血病——两例细胞化学检查结果(作者译)
Klin Padiatr. 1979 Mar;191(2):133-9.
8
"Pure" monocytic or histiomonocytic leukemia: a revised concept.“纯”单核细胞或组织单核细胞白血病:一个修订的概念。
Cancer. 1975 Jan;35(1):208-14. doi: 10.1002/1097-0142(197501)35:1<208::aid-cncr2820350126>3.0.co;2-c.
9
[Eosinophilic leukemia and disseminated intravascular coagulation].[嗜酸性粒细胞白血病与弥散性血管内凝血]
Sem Hop. 1976 Apr 23;52(16):987-98.
10
[Successful pregnancy in acute promyelocytic leukaemia (author's transl)].急性早幼粒细胞白血病患者成功妊娠(作者译)
Haematologica. 1979 Jun;64(3):356-61.

引用本文的文献

1
Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo. The AML Cooperative Group.FAB分型M3和M4Eo急性髓系白血病的临床特征。AML协作组。
Ann Hematol. 1993 Apr;66(4):165-70. doi: 10.1007/BF01703230.
2
Acute myelomonocytic leukemia with involvement of eosinophils and inversion of chromosome 16.伴有嗜酸性粒细胞受累及16号染色体倒位的急性粒单核细胞白血病。
Blut. 1984 May;48(5):263-7. doi: 10.1007/BF00320396.
3
Eosinophil predominance in Hodgkin's disease.霍奇金病中的嗜酸性粒细胞增多
Z Krebsforsch Klin Onkol Cancer Res Clin Oncol. 1977 May 20;89(1):107-11. doi: 10.1007/BF02571695.