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Blood, 15 March 2002, Vol. 99, No. 6, pp. 2259-2261

BRIEF REPORT

Regression of lymphoproliferative disorder after treatment for hepatitis C virus infection in a patient with partial trisomy 3, Bcl-2 overexpression, and type II cryoglobulinemia

Milvia Casato, Cristina Mecucci, Vincent Agnello, Massimo Fiorilli, Glenn B. Knight, Caterina Matteucci, Lei Gao, and Jonathan Kay

From the Department of Clinical Medicine, University of Rome La Sapienza, Rome, Italy; Hematology, University of Perugia, Italy; Lahey Clinic, Burlington, MA; Veterans Affairs Medical Center, Bedford, MA.

A patient with type II cryoglobulinemic vasculitis and hepatitis C virus (HCV) infection presented with a leukemiclike proliferation of B cells bearing marginal zone B-cell phenotypic markers. A partial trisomy 3 (bands 3q11-29) and overexpression of Bcl-2 without t(14;18) translocation was detected in the monoclonal B cells that were classic rheumatoid factor-producing B cells bearing the WA cross-idiotype. Treatment with interferon-alpha produced a complete clinical remission and synchronous marked decreases in viremia and monoclonal B-cell prevalence. This is the first report of partial trisomy 3 and Bcl-2 overexpression in type II cryoglobulinemic vasculitis associated with HCV infection. Further studies of HCV-infected patients with and without type II cryoglobulinemia are required to determine the prevalence and possible physiologic and/or pathophysiologic significance of these findings.

© 2002 by The American Society of Hematology.
 

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