Korean J Clin Pathol.  2000 Oct;20(5):455-458.

A case of microgranular variant of acute promyelocytic leukemia with strong positive reaction in nonspecific esterase stain

Affiliations
  • 1Department of Clinical Pathology, College of Medicine, Hanyang University, Seoul, Korea.

Abstract

We report a case of microgranular variant of acute promyelocytic leukemia with strong positivity in nonspecific esterase stain (inhibited by sodium fluoride) in a 21-onth-ld girl who had complained of intermittent fever and severe vomiting. At admission, she showed marked leukocytosis in the peripheral blood. The majority of leukocytes were immature cells which exhibited marked nuclear irregularity and had sparse dust-ike granules in their cytoplasm. In immunophenotyping, these cells showed CD13 and CD33 positivity and in cytogenetic study, they showed t(15;17) abnormality. The patient died at the 6th hospital day because of pulmonary and intracranial hemorrhage.

Keyword

Microgranular variant; Acute promyelocytic leukemia; Nonspecific esterase

MeSH Terms

Carboxylesterase*
Cytogenetics
Cytoplasm
Female
Fever
Humans
Immunophenotyping
Intracranial Hemorrhages
Leukemia, Promyelocytic, Acute*
Leukocytes
Leukocytosis
Sodium
Vomiting
Carboxylesterase
Sodium
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