T-cell large granular lymphocytic leukaemia: successful response to 2-deoxycoformycin

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G Dincol1, R Diz-Kuçukkaya, E Bicakci

  • 1Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Haematology, Capa, Istanbul, Turkey.

The Netherlands Journal of Medicine
|February 23, 2008
PubMed

We report a 25-year-old woman with T-cell large granular lymphocytic leukaemia presenting with severe neutropenia, anaemia and recurrent infections with a chronic disease course. Immunophenotyping showed an expansion of CD3+, TCRgamma delta+, CD4-, CD5+, CD7+, CD8+, CD57+ large granular lymphocytes. Clonality was demonstrated with T-gamma polymerase chain reaction analysis which revealed clonal rearrangement of the TCRgamma chain gene. Cyclosporine, granulocyte colony-stimulating factor, methothrexate and a combination of cyclophosphamide, vincristine and prednisolone failed to correct the neutropenia and the anaemia. Finally, treatment with 2-deoxycoformycin resulted in both clinical and haemotological complete responses, despite molecular evidence of the persistence of the abnormal T-cell clone.

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