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  • Chronic lymphocytic leukemia must be differentiated from other diseases that cause weight loss, night sweats, hepatosplenomegalyand, and palpable lymph nodes, such as hairy cell leukaemia, prolymphocytic leukaemia, follicular lymphoma, and mantle cell lymphoma.
  • The table below summarizes how to differentiate chronic lymphocytic leukemia from other conditions that cause similar presentation:[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

  1. Hoffbrand V, Moss P. Essential Haematology. John Wiley & Sons; 2011