Large Granular Lym-
phocytes Lymphocytosis: a Case Report
Brychtová Y., Doubek M., Mayer J., Bulíková A. 1 , Krahulová M.
Interní hematoonkologická klinika FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Jiří Vorlíček, CSc. 1 Oddělení klinické hematologie FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Miroslav Penka, CSc. |
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Summary:
Lymphoproliferative disorders of large granular lymphocytes (LGL) can arise from either CD3+ T
cells or CD3- natural killer cells. Polyclonal proliferation of LG lymphocytes is called LGL lym-
phocytosis, monoclonal proliferation of LG lymphocytes is LGL leukaemia. Prominent clinical
manifestations of LGL lymphocytosis and leukaemia are bacterial infections, splenomegaly, and
may be connected with rheumatic or autoimmune disorders. Hematologic findings reveal particu-
larly lymphocytosis, and severe neutropenia. The b chain gene of T cell receptor rearrangement
analysis is necessary for distinguishing of T LGL lymphocytosis from T LGL leukaemia.
The authors report a case of young woman with T cells LGL lymphroproliferative disorder, bacte-
rial infection, reactive lymphadenopathy, and spontaneous regression of the lymphocytosis wit-
hin 6 months.
Key words:
large granular lymphocytes - lymphoproliferatirve disorders - T lymphocytes - natural
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