Chronic lymphocytic leukemia presenting with extreme hyperleukocytosis and thrombosis of the common femoral vein

Tali Cukierman, Moshe E. Gatt, Dianna Libster, Neta Goldschmidt, Yaacov Matzner*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Very few case reports dealing with chronic lymphocytic leukemia (CLL) and hyperleukocytosis have been reported in the medical literature and none with venous thrombosis as a complication. Here, we describe a 73-year-old woman who presented with newly diagnosed CLL, leukostasis, and hyperleukocytosis (2000 × 10 9/1), affecting the respiratory and nervous system. In addition, she also had deep vein thrombosis (DVT). Although hypercoagulability and thrombosis are well-described phenomena in solid tumors and in myeloproliferative neoplasms, CLL is generally not associated with an acquired coagulopathy. We hypothesize that in our patient the extreme number of circulating lymphocytes resulted in an abnormal accumulation of lymphocytes possibly causing stasis and occlusion of a larger vessel, which resolved after leukopheresis. The patient has since been successfully maintained with chemotherapy. We conclude that leukopheresis should be considered as the therapy of choice in CLL patients presenting with major complications of leukostasis.

Original languageAmerican English
Pages (from-to)1865-1868
Number of pages4
JournalLeukemia and Lymphoma
Volume43
Issue number9
DOIs
StatePublished - 2002

Keywords

  • CLL
  • Chronic lymphocytic leukemia
  • Extreme hyperleukocytosis
  • Femoral vein thrombosis

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