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Ultrastructural Pathology Volume 3, 1982 - Issue 3
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Original Article

Autologous Red Blood Cell and Platelet Engulfment in Hairy Cell Leukemia

Samuel P. Hammar Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
,
Dawn Bockus Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
,
Franque Remington Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
,
Keith Hallman Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
,
John W. Huff Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
,
Patrick A Ragen Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
,
Robert H. Rudolph Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
,
Albert B. Einstein Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
&
Jean Bell Department of Pathology and the Section of Hematology-Oncology Seattle, Department of Internal Medicine, The Mason Clinic, Seattle, Washington, 98101
 show all
Pages 243-252 | Accepted 21 Oct 1981, Published online: 10 Jul 2009
 
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Abstract

Seven cases of hairy cell leukemia (leukemic reticulo-endotheliosis) are presented in which peripheral blood or splenic hairy cells or both were identified engulfing autologous red blood cells or platelets. In 3 patients, approximately 5-15% of their peripheral blood hairy cells were engulfing red cells and platelets. In 2 patients, intercellular junctions were present between processes of hairy cells and were similar to processes occasionally seen connecting Langerhans cells to each other. Also, parallel tubular arrays were identified in the cytoplasm of hairy cells from 2 other patients. We conclude that autologous red blood cell and platelet engulfment is a common finding in hairy cell leukemia.

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