Revision as of 13:53, 21 July 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [2]

Overview

Chronic myelogenous leukemia must be differentiated from leukemoid reaction, chronic neutrophilic leukemia, and acute myeloid leukemia.^[1]

Differential Diagnosis

Chronic myelogenous leukemia must be differentiated from:^[1]^[2]^[3]

Leukemoid reaction

Leukemoid reaction associated with:

High leukocyte alkaline phosphatase
White blood cell counts lower than 50 × 10^9/L
Döhle's bodies in the granulocytes
Absence of basophilia

Basophils and eosinophils are almost always increased in chronic myelogenous leukemia

Differenting Chronic lymphocytic leukemia from other Diseases=

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Chronic lymphocytic leukemia must be differentiated from other diseases that cause weight loss, night sweats, hepatosplenomegaly, and palpable lymph nodes, such as hairy cell leukaemia, prolymphocytic leukaemia, follicular lymphoma, and mantle cell lymphoma.
Based on the expression of cell surface markers, the table below differentiates chronic lymphocytic leukemia from other diseases that cause similar clinical presentations:^[4]


Differential Diagnosis	Surface Immunoglobulin	CD5	CD22/FMC7	CD23	CD79b	CD103

Chronic lymphocytic leukemia	Weakly positive	Positive	Negative	Positive	Negative	Positive/Negative
Prolymphocytic leukemia	Strongly positive	Negative	Positive	Negative	Positive	Negative
Hairy cell leukemia	Strongly positive	Negative	Positive	Negative	Positive/Negative	Positive
Mantle cell lymphoma	Positive	Positive	Strongly positive	Negative	Strongly positive	Negative
Follicular lymphoma	Strongly positive	Negative	Positive	Negative	Strongly positive	Negative

Chronic lymphocytic leukemia must also be differentiated from other causes of fever, hepatosplenomegaly, and lymph node swelling such as:^[5]

References

↑ ^1.0 ^1.1 Gajendra S, Gupta R, Chandgothia M, Kumar L, Gupta R, Chavan SM (2014). "Chronic Neutrophilic Leukemia with V617F JAK2 Mutation". Indian J Hematol Blood Transfus. 30 (2): 139–42. doi:10.1007/s12288-012-0203-6. PMC 4022913. PMID 24839370.
↑ Kanegae MP, Ximenes VF, Falcão RP, Colturato VA, de Mattos ER, Brunetti IL; et al. (2007). "Chemiluminescent determination of leukocyte alkaline phosphatase: an advantageous alternative to the cytochemical assay". J Clin Lab Anal. 21 (2): 91–6. doi:10.1002/jcla.20140. PMID 17385676.
↑ Jabbour E, Kantarjian H (2014). "Chronic myeloid leukemia: 2014 update on diagnosis, monitoring, and management". Am J Hematol. 89 (5): 547–56. doi:10.1002/ajh.23691. PMID 24729196.
↑ Hoffbrand V, Moss P. Essential Haematology. John Wiley & Sons; 2011
↑ Chronic Lymphocytic Leukimea. Wikipedia (2015) https://en.wikipedia.org/wiki/B-cell_chronic_lymphocytic_leukemia Accessed on October ,12 2015

Template:WikiDoc Sources

[pmid24839370-1] 1.0 ^1.1 Gajendra S, Gupta R, Chandgothia M, Kumar L, Gupta R, Chavan SM (2014). "Chronic Neutrophilic Leukemia with V617F JAK2 Mutation". Indian J Hematol Blood Transfus. 30 (2): 139–42. doi:10.1007/s12288-012-0203-6. PMC 4022913. PMID 24839370.

[pmid17385676-2] Kanegae MP, Ximenes VF, Falcão RP, Colturato VA, de Mattos ER, Brunetti IL; et al. (2007). "Chemiluminescent determination of leukocyte alkaline phosphatase: an advantageous alternative to the cytochemical assay". J Clin Lab Anal. 21 (2): 91–6. doi:10.1002/jcla.20140. PMID 17385676.

[pmid24729196-3] Jabbour E, Kantarjian H (2014). "Chronic myeloid leukemia: 2014 update on diagnosis, monitoring, and management". Am J Hematol. 89 (5): 547–56. doi:10.1002/ajh.23691. PMID 24729196.

[H-4] Hoffbrand V, Moss P. Essential Haematology. John Wiley & Sons; 2011

[wiki-5] Chronic Lymphocytic Leukimea. Wikipedia (2015) https://en.wikipedia.org/wiki/B-cell_chronic_lymphocytic_leukemia Accessed on October ,12 2015

[1]

[2]

[3]

[4]

[5]

@@ Line 16: / Line 16: @@
 *[[Acute myeloid leukemia]]
 *[[Thrombocytosis]]
+=Differenting Chronic lymphocytic leukemia from other Diseases==
+* Chronic lymphocytic leukemia must be differentiated from other diseases that cause [[weight loss]],  [[night sweats]], [[hepatosplenomegaly]], and palpable [[lymph node]]s, such as [[hairy cell leukaemia]], prolymphocytic leukaemia, [[follicular lymphoma]], and [[mantle cell lymphoma]].
+* Based on the expression of cell surface markers, the table below differentiates chronic lymphocytic leukemia from other diseases that cause similar clinical presentations:<ref name="H">Hoffbrand V, Moss P. Essential Haematology. John Wiley & Sons; 2011</ref>
+<br>
+{| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px"
+|valign=top|
+|+
+! style="background: #4479BA; width: 600px;" | {{fontcolor|#FFF|'''Differential Diagnosis'''}}
+! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|'''Surface Immunoglobulin'''}}
+! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|'''CD5'''}}
+! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|'''CD22/FMC7'''}}
+! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|'''CD23'''}}
+! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|'''CD79b'''}}
+! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|'''CD103'''}}
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+'''Chronic lymphocytic leukemia'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center |
+'''Weakly positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center |
+'''Positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center |
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive/Negative'''
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+'''Prolymphocytic leukemia'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Strongly positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+'''Hairy cell leukemia'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Strongly positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive/Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive'''
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+'''Mantle cell lymphoma'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Strongly positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Strongly positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+'''Follicular lymphoma'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Strongly positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Strongly positive'''
+| style="padding: 5px 5px; background: #F5F5F5;" align=center|
+'''Negative'''
+|}
+<br>
+* Chronic lymphocytic leukemia must also be differentiated from other causes of fever, hepatosplenomegaly, and lymph node swelling such as:<ref name="wiki">Chronic Lymphocytic Leukimea. Wikipedia (2015) https://en.wikipedia.org/wiki/B-cell_chronic_lymphocytic_leukemia Accessed on October ,12 2015</ref>
+:* [[Splenic marginal zone lymphoma]]
+:* Nodal marginal zone [[lymphoma]]
+:* [[Lymphoplasmacytic lymphoma]]
+:* [[Sézary syndrome]]
+:* Smoldering [[adult T cell leukemia]]
 ==References==

Chronic myelogenous leukemia differential diagnosis: Difference between revisions

Revision as of 13:53, 21 July 2017

Overview

Differential Diagnosis

Differenting Chronic lymphocytic leukemia from other Diseases=

References

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