Korean J Hematol.  2009 Sep;44(3):144-147. 10.5045/kjh.2009.44.3.144.

A Case of Acute Myeloblastic Leukemia in a Patient with Behcet's Disease

Affiliations
  • 1Department of Internal Medicine, School of Medicine, Pusan National University, Busan, Korea. chyj@pusan.ac.kr

Abstract

Behcet's disease is a relapsing inflammatory disorder characterized by vasculitis of unknown cause and has been reported rarely in association with malignant diseases. In most cases the autoimmune nature of Behcet's disease and the long-term immunosuppressive therapy for disease control have been proposed to be responsible for malignant transformation. Although a few cases of various solid tumor and myelodysplastic syndrome have been reported in association with Behcet's disease, acute leukemia has seldom been associated with Beh?et's disease in Korea. We report a case of 38-year-old man with acute myeloblastic leukemia association with a Behcet's disease who had not received long-term treatment.

Keyword

Behcet's disease; Acute myeloblastic leukemia

MeSH Terms

Acute Disease
Adult
Humans
Korea
Leukemia
Leukemia, Myeloid, Acute
Myelodysplastic Syndromes
Vasculitis

Figure

  • Fig. 1. The bone marrow aspirate shows myeloblastic cells (Wright Giemsa ×1,000).

  • Fig. 2. The bone marrow biopsy shows myeloblastic cells (H&E ×100).

  • Fig. 3. The karyogram shows hyperdiploidy clones (arrows), 52, XY,+8, +10, +12, +18, +21, +22.


Reference

References

1. Sakane T, Takeno M, Suzuki N, Inaba G. Behçet's disease. N Engl J Med. 1999; 341:1284–91.
Article
2. Kaklamani sa VG, Tzonou A, Kaklamanis PG. Behçet's disease associated with malignancies. Report of two cases and review of the literature. Clin Exp Rheumatol. 2005; 23:35–41.
3. Abe T, Yachi A, Yabana T, et al. Gastric non-Hodgkin lymphoma associated with Behçet's disease. Intern Med. 1993; 32:663–7.
4. Katsura Y, Suzukawa K, Kojima H, et al. Cytotoxic T-cell lymphoma arising in Behçet disease. Int J Hematol. 2003; 77:282–5.
Article
5. Louzir B, Othmani S, Gritli N, et al. Erythroleuke-mia in a patient with Behçet's disease under longterm thalidomide therapy. Ann Med Interne (Paris). 1992; 143:479–80.
6. Kaloterakis A, Stavrianeas NG, Karagianni IN, et al. Adamantiades-Behçet's disease coexisting with acute myeloblastic leukaemia. Br J Dermatol. 1997; 137:317–8.
7. Tassies D, Cervantes F, Feliu E, Cabal G, Martínez Orozco F, Rozman C. Behçet's disease with an onset prior to the appearance of chronic myeloid leukemia. Med Clin (Barc). 1992; 99:67–8.
8. Ozdogu H, Boga C, Yilmaz Z, Sahin FI, Bal N. Long-term colchicine therapy in a patient with Behçet's disease and acute promyelocytic leukemia. Rheumatol Int. 2007; 27:763–5.
Article
9. Michels SD, McKenna RW, Arthur DC, Brunning RD. Therapy related acute myeloid leukemia and  myelodysplastic syndrome: a clinical and morphologic study of 65 cases. Blood. 1985; 65:1364–72.
10. Cengiz M, Altundag MK, Zorlu AF, GüllüIH , Ozyar E, Atahan IL. Malignancy in Behçet's disease: a report of 13 cases and a review of the literature. Clin Rheumatol. 2001; 20:239–44.
Article
11. Stern M, Buser AS, Lohri A, Tichelli A, Nissen-Druey C. Autoimmunity and malignancy in hematology–more than an association. Crit Rev Oncol Hematol. 2007; 63:100–10.
Article
12. Hoang T, Levy B, Onetto N, Human A, Rodriguez-Cimadevilla JC. Tumor necrosis factor alpha stimulates the growth of the clonogenic cells of acute myeloblastic leukemia in synergy with granulocyte/macrophage colonystimulating factor. J Exp Med. 1989; 170:15–26.
Article
13. Murohashi I, Hoang T. Interferon-gamma enhances growth factor-dependent proliferation of clonogenic cells in acute myeloblastic leukemia. Blood. 1991; 78:1085–95.
Article
14. Hallett WH, Murphy WJ. Natural Killer Cells: biology and clinical use in cancer therapy. Cell Mol Immunol. 2004; 1:12–21.
15. Honma M, Momose M, Sakamoto H, Sofuni T, Hayashi M. Spindle poisons induce allelic loss in mouse lymphoma cells through mitotic non-disjunction. Mutat Res. 2001; 493:101–14.
Article
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