Hairy cell leukemia differential diagnosis: Difference between revisions
No edit summary |
No edit summary |
||
Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Hairy cell leukemia}} | {{Hairy cell leukemia}} | ||
{{CMG}} {{AE}}{{HL}} | |||
==Overview== | |||
* 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]].<ref name="H">Hoffbrand V, Moss P. Essential Haematology. John Wiley & Sons; 2011</ref> | |||
==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 leukaemia''' | |||
| 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 leukaemia''' | |||
| 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 leukaemia''' | |||
| 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== | ==References== |
Revision as of 11:15, 21 October 2015
Hairy cell leukemia Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Hairy cell leukemia differential diagnosis On the Web |
American Roentgen Ray Society Images of Hairy cell leukemia differential diagnosis |
Risk calculators and risk factors for Hairy cell leukemia differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
- 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.[1]
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 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:[1]
Differential Diagnosis | Surface Immunoglobulin | CD5 | CD22/FMC7 | CD23 | CD79b | CD103 |
---|---|---|---|---|---|---|
Chronic lymphocytic leukaemia |
Weakly positive |
Positive |
Negative |
Positive |
Negative |
Positive/Negative |
Prolymphocytic leukaemia |
Strongly positive |
Negative |
Positive |
Negative |
Positive |
Negative |
Hairy cell leukaemia |
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:[2]
- Splenic marginal zone lymphoma
- Nodal marginal zone lymphoma
- Lymphoplasmacytic lymphoma
- Sézary syndrome
- Smoldering adult T cell leukemia
References
- ↑ 1.0 1.1 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