Blood online
Home About Blood Authors Subscriptions Permission Advertising Public Access contact us
 

 
Advanced
Current Issue
First Edition
Future Articles
Archives
Submit to Blood
Search
American Society of Hematology
Meeting Abstracts
Email Alerts
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by GILMAN, P. A.
Right arrow Articles by GUILD, H. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by GILMAN, P. A.
Right arrow Articles by GUILD, H. G.
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

arrow to previous article Previous Article  |  Table of Contents  |  Next Article next article arrow

Blood, 1970, Vol. 36, No. 5, pp. 576-585.
© 1970 American Society of Hematology, Inc.


Congenital Agranulocytosis: Prolonged Survival and Terminal Acute Leukemia

PRISCILLA A. GILMAN 1, DUDLEY P. JACKSON 1, and HARRIET G. GUILD 1

1 Departments of Medicine and Pediatrics of The Johns Hopkins University School of Medicine and Hospital, Baltimore, Md.

Three unrelated, Caucasian patients with a disorder resembling infantile genetic agranulocytosis have been studied. There was no history of consanguinity. Parents and siblings were normal. Onset occurred before 3 weeks of age and persisted throughout life. All had severe neutropenia, myeloid arrest pattern of the bone marrow, eosinophilia, monocytosis and hyperglobulinemia. Other congenital anomalies were not present. Their clinical courses were characterized by recurrent, severe bacterial infections particularly of the skin, mouth and lungs but without bacteremia. The infections responded to, but were not prevented by antibiotics, which were administered almost continuously. Fungal infections did not occur and viral infections were not severe. Splenectomy and corticosteroids were without apparent benefit. Relative, though transient, neutrophilia occurred during a few episodes of infection. Chromosome analysis was normal in two of the patients. In one, maturation of neutrophilic leukocytes was not observed in cultures of bone marrow to which normal serum or cysteine was added. One boy is living at 14 10/12 years of age, and one died at 13frac34 years of disseminated infection. A unique occurrence was the development of terminal acute leukemia (monocytic) in the third patient, a girl at the age of 14frac14 years.

Submitted on April 1, 1970
Revised on May 20, 1970
Accepted on May 27, 1970


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
BloodHome page
M. Germeshausen, M. Ballmaier, and K. Welte
Incidence of CSF3R mutations in severe congenital neutropenia and relevance for leukemogenesis: results of a long-term survey
Blood, January 1, 2007; 109(1): 93 - 99.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
P. S. Rosenberg, B. P. Alter, A. A. Bolyard, M. A. Bonilla, L. A. Boxer, B. Cham, C. Fier, M. Freedman, G. Kannourakis, S. Kinsey, et al.
The incidence of leukemia and mortality from sepsis in patients with severe congenital neutropenia receiving long-term G-CSF therapy
Blood, June 15, 2006; 107(12): 4628 - 4635.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Pathol.Home page
R Lakshman and A Finn
Neutrophil disorders and their management
J. Clin. Pathol., January 1, 2001; 54(1): 7 - 19.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
S. Jeha, K. W. Chan, A. G. Aprikyan, W. K. Hoots, S. Culbert, H. Zietz, D. C. Dale, and M. Albitar
Spontaneous remission of granulocyte colony-stimulating factor-associated leukemia in a child with severe congenital neutropenia
Blood, November 15, 2000; 96(10): 3647 - 3649.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
M. H. Freedman, M. A. Bonilla, C. Fier, A. A. Bolyard, D. Scarlata, L. A. Boxer, S. Brown, B. Cham, G. Kannourakis, S. E. Kinsey, et al.
Myelodysplasia syndrome and acute myeloid leukemia in patients with congenital neutropenia receiving G-CSF therapy
Blood, July 15, 2000; 96(2): 429 - 436.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
C. Zeidler, K. Welte, Y. Barak, F. Barriga, A. A. Bolyard, L. Boxer, G. Cornu, M. J. Cowan, D. C. Dale, T. Flood, et al.
Stem cell transplantation in patients with severe congenital neutropenia without evidence of leukemic transformation
Blood, February 15, 2000; 95(4): 1195 - 1198.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
P. Anderlini, M. Korbling, D. Dale, A. Gratwohl, N. Schmitz, D. Stroncek, C. Howe, S. Leitman, M. Horowitz, E. Gluckman, et al.
Allogeneic Blood Stem Cell Transplantation: Considerations for Donors
Blood, August 1, 1997; 90(3): 903 - 908.
[Abstract] [Full Text] [PDF]


Home page
The OncologistHome page
M. Korbling
Peripheral Blood Stem Cells: A Novel Source for Allogeneic Transplantation
Oncologist, April 1, 1997; 2(2): 104 - 104.
[Abstract] [Full Text] [PDF]


Home page
The OncologistHome page
M. H. Freedman
Congenital Marrow Failure Syndromes and Malignant Hematopoietic Transformation
Oncologist, December 1, 1996; 1(6): 354 - 360.
[Abstract] [Full Text] [PDF]


Home page
NEJMHome page
F. Dong, R. K. Brynes, N. Tidow, K. Welte, B. Lowenberg, and I. P. Touw
Mutations in the Gene for the Granulocyte Colony-Stimulating-Factor Receptor in Patients with Acute Myeloid Leukemia Preceded by Severe Congenital Neutropenia
N. Engl. J. Med., August 24, 1995; 333(8): 487 - 493.
[Abstract] [Full Text] [PDF]


Home page
Arch Pediatr Adolesc MedHome page
S. Kato, K. Tsuji, Y. Tsunematsu, R. Koide, and J. Utsumi
Familial Leukemia: HLA System and Leukemia Predisposition in a Family
Arch Pediatr Adolesc Med, July 1, 1983; 137(7): 641 - 644.
[Abstract] [PDF]



 click for free articles
home about blood authors subscriptions permissions advertising public access contact us
  Copyright © 1970 by American Society of Hematology         Online ISSN: 1528-0020