Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1992-2-7
pubmed:abstractText
Two cases are described with the rare combination of inv(16)(p13q22), strongly associated with acute myelomonocytic leukemia with eosinophilia, M4Eo, and the Philadelphia translocation, t(9;22)(q34;q11), hallmark of chronic myeloid leukemia (CML) and rarely found, (less than 1%), in acute nonlymphocytic leukemia. The patients were: case 1, a 9-year-old girl presenting with a white blood cell count (WBC) 42 x 10(9)/L with 32% blasts and bone marrow with blasts and eosinophil precursors consistent with M4Eo, and case 2, a 25-year-old man with WBC 34.7 x 10(9)/L with 13% blasts and bone marrow with features of M4Eo and basophilia. Both patients achieved remission but died following bone marrow transplantation in first remission (case 1) or in relapse (case 2). Cytogenetic findings were: case 1, at diagnosis, 46,XX,inv(16)(p13q22)(21)/46,XX,t(9;22) (q34;q11),inv(16)(8)/46,XX(10), and case 2, at diagnosis, 46,XY,t(9;22) (q34;q11),inv(16)(p13q22) (16) and in remission, 46,XY,t(9;22)(q34;q11) (1)/46,XY (24). Investigation of the breakpoint on 22 in case 1 with Southern blotting and the polymerase chain reaction demonstrated the presence of a p190 mRNA and a breakpoint typical of acute leukemia. Thus a diagnosis of M4Eo was supported by clinical and cytogenetic sequelae in each case; the Ph in case 1 was apparently secondary to inv(16), in case 2 the Ph probably preceded inv(16) in the etiology of the leukemia.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0165-4608
pubmed:author
pubmed:issnType
Print
pubmed:volume
58
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
29-34
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:1728947-Adult, pubmed-meshheading:1728947-Base Sequence, pubmed-meshheading:1728947-Blotting, Southern, pubmed-meshheading:1728947-Child, pubmed-meshheading:1728947-Chromosome Inversion, pubmed-meshheading:1728947-Chromosomes, Human, Pair 16, pubmed-meshheading:1728947-Chromosomes, Human, Pair 22, pubmed-meshheading:1728947-Chromosomes, Human, Pair 9, pubmed-meshheading:1728947-Eosinophilia, pubmed-meshheading:1728947-Female, pubmed-meshheading:1728947-Humans, pubmed-meshheading:1728947-Leukemia, Myelogenous, Chronic, BCR-ABL Positive, pubmed-meshheading:1728947-Leukemia, Myelomonocytic, Acute, pubmed-meshheading:1728947-Male, pubmed-meshheading:1728947-Molecular Sequence Data, pubmed-meshheading:1728947-Philadelphia Chromosome, pubmed-meshheading:1728947-Polymerase Chain Reaction
pubmed:year
1992
pubmed:articleTitle
Inversion of chromosome 16 with the Philadelphia chromosome in acute myelomonocytic leukemia with eosinophilia. Report of two cases.
pubmed:affiliation
Department of Haematology, Royal Free Hospital and School of Medicine, London, UK.
pubmed:publicationType
Journal Article, Case Reports, Research Support, Non-U.S. Gov't