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Macrophage colony-stimulating factor-producing malignant histiocytosis
Authors:SHUJI OZAKI  TAKAYA MATSUSHITA  MAKOTO IDE  KEIJI OZAKI  TOSHIAKI SANO  MASAAKI KOSAKA  SHIRO SAITO
Affiliation:First Department of Internal Medicine, University ofTokushima, Tokushima, Japan;Firs Department of Pathology, School of Medicine, University ofTokushima, Tokushima, Japan
Abstract:Summary. We describe a patient with malignant histiocytosis who had a prominent neutrophilia uncommonly observed in this disease. Serum concentration of macrophage colony-stimulating factor (M-CSF) was markedly elevated, and correlated with clinical symptoms and neutrophil counts during clinical course. Moreover, M-CSF was detected in the cytoplasm of malignant histiocytes of the lymph node and bone marrow by immunohistochemical staining. These results indicate that the neutrophilia observed in this patient was caused by M-CSF produced by the malignant histiocytes.
Keywords:malignant histiocytosis    macrophage    M-CSF    neutrophilia    cytokine
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