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一例罕见的 NK 大颗粒淋巴细胞增殖性疾病

英文原题:A Rare Case of NK Large Granular Lymphocytic Proliferative Disorder.

查看英文原题

A Rare Case of NK Large Granular Lymphocytic Proliferative Disorder.

PubMed 2024/12/01(内容时间) Clin Lab Q4 · IF 0.7(JCR 2025)

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研究概要

CLPD-NK 是一种慢性进展性淋巴增殖性疾病,若无临床症状,可定期随访。

中文摘要

慢性NK细胞淋巴增殖性疾病(CLPD-NK)是一种极罕见的淋巴增殖性疾病,患者常有淋巴细胞比例升高,但没有临床症状。

本病例中,一名中年女性在连续4年的体检中淋巴细胞比例持续升高,但没有出现其他明显临床症状。通过全面评估,包括外周血细胞形态学分析、淋巴细胞亚群分析及外周血免疫表型检测,最终确定该现象的病因。这些诊断工具共同为疾病性质提供了重要线索。

患者最终确诊为CLPD-NK。管理计划建议每年定期体检,以监测疾病进展及健康状况变化。

CLPD-NK是一种慢性进展性淋巴增殖性疾病;若无临床症状,可定期随访。若发生中性粒细胞、红细胞或血小板显著减少及其他并发症,则可能需要化疗或骨髓移植。

展开英文摘要原文

Chronic NK-cell lymphoproliferative disease (CLPD-NK) is a very rare lymphoproliferative disorder in which patients often have an elevated lymphocyte population without clinical symptoms.

In this particular case, a middle-aged woman presented with a consistent elevation in her lymphocyte proportion over a span of four consecutive years during physical examinations, without manifesting any other notable clinical symptoms. The underlying cause of this phenomenon was ultimately identified through a comprehensive evaluation that encompassed peripheral blood cell morphology analysis, lymphocyte subset profiling, and peripheral blood immunophenotyping. These diagnostic tools collectively provided crucial insights into the nature of the disease.

The patient was finally diagnosed with CLPD-NK. As part of her management plan, the patient was advised to undergo regular annual physical examinations to monitor the progression of the disease and any potential changes in her health status.

CLPD-NK is a chronic progressive lymphoproliferative disease, which can be followed up regularly if there are no clinical symptoms. Severe reductions in neutrophils, red blood cells, and platelets or other complications may require chemotherapy or bone marrow transplantation.

论文信息

作者
Shang L、Hao Q、Liu C、Liu X
文献类型
病例报告
期刊
Clinical laboratory2024 Dec 1
原文标识
PubMed 39661993 · DOI 10.7754/Clin.Lab.2024.240712