Chronic eosinophilic leukemia

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Chronic eosinophilic leukemia
Other namesCEL
SpecialtyHematology, oncology

Chronic eosinophilic leukemia is a form of cancer in which too many

fusion genes. [1]

Signs and symptoms

Signs and symptoms may include weight loss, fever, malaise, cough, skin and mucosal lesions, diarrhea, and peripheral neuropathy. Cardiac symptoms are also possible.[2]

In cases associated with PDGFRB and FGFR1 mutations, splenomegaly is common. Lymphadenopathy is also common with FGFR1 mutations.[2]

Infiltration of eosinophils causes organ damage.[3]

Causes

Most cases of CEL are associated with

FGFR1.[4]

CEL not otherwise specified (CEL NOS) is a form in which BCR-ABL1 fusion genes and PDGFRA, PDGFRB, and FGFR1 rearrangements are not found.[5]

Diagnosis

For a diagnosis of CEL,

IgE
is usually normal. In cases associated with PDGFRB, serum vitamin B12 and tryptase may be elevated.[2]

Prognosis

CEL associated with a mutation in

FGFR1 mutations has a very poor prognosis.[4]
Progression can occur from CEL to AEL or AML in rare cases.[4]

Epidemiology

Cases occur in people of all ages. The disease is more common in males than females.[2]

References

  1. ^ "Chronic Eosinophilic Leukemia". The Lecturio Medical Concept Library. Retrieved 8 July 2021.
  2. ^ .
  3. .
  4. ^ .
  5. ^ Aster, Jon (19 June 2013). Hematopathology: A Volume in the High Yield Pathology Series. Elsevier. p. 222.

External links