eJHaem (Aug 2024)

CD4+ chronic lymphocytic leukemia in an 86‐year‐old male veteran: A case report

  • Sara Abdelrahim,
  • Glory H. Thai,
  • Juanita Burke,
  • Timothy O'Brien,
  • Mohammad Q. Ansari,
  • Chen Zhao,
  • Hany Sakr

DOI
https://doi.org/10.1002/jha2.958
Journal volume & issue
Vol. 5, no. 4
pp. 845 – 850

Abstract

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Abstract CD4+ chronic lymphocytic leukemia (CLL) represents an extremely rare example of phenotypic aberrancy within CLL. We present a case of an 86‐year‐old male veteran with a history of multiple comorbidities who was incidentally diagnosed with CD4+ CLL during a routine peripheral blood workup. This case highlights the diagnostic challenges and characteristic features of CD4+ CLL, including flow cytometric analysis, molecular, and fluorescence in situ hybridization findings. The patient was classified as asymptomatic CLL Rai stage 0, warranting regular monitoring without a need for treatment intervention.

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