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Bcl-2 and immunoglobulin gene rearrangements in patients with malaria related chronic splenomegaly
Authors:Dascalescu Cristina Mihaela  Rosenzwajg Michelle  Bonte Hélène  Mir Ilhem Agha  Aoudjhane Malek  Smadja Nicole Véronique  Lemoine François M  Najman Albert
Affiliation:Centre Hospitalier Universitaire Saint-Antoine, 184 rue du Faubourg St. Antoine, 75571 Paris cedex 12, France.
Abstract:Two cases of malaria related chronic splenomegaly, one with tropical splenic lymphoma with villous lymphocytes (TSLVL) and the other with hyperreactive malarial splenomegaly (HMS) were analyzed by cytology, histology, karyotyping, immunophenotyping, and polymerase chain reaction (PCR) for detection of bcl-2/JH and FR3/JH rearrangements on blood and bone marrow samples, at diagnosis and 12 months after malarial prophylaxis. The reported data suggest that the detection of FR3/JH rearrangement might contribute to the diagnosis of TSLVL in patients with malaria related chronic splenomegaly, for whom bcl-2/JH rearrangement may be a common molecular event.
Keywords:Hyperreactive malarial splenomegaly  Splenic lymphoma with villous lymphocytes  Bcl-2/JH gene rearrangement  FR3/JH gene rearrangement
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