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CASE REPORT
Year : 2015  |  Volume : 6  |  Issue : 2  |  Page : 79-81

Chronic eosinophilic leukemia with Fip 1-like 1-platelet-derived growth factor receptor alpha mutation: A rare case report


Army Hospital Research and Referral, Delhi Cantonment, New Delhi, India

Correspondence Address:
Khushboo Dewan
26, Amit Apartments, Sector-13, Rohini, Delhi Cantonment, New Delhi - 110 085
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-5127.160207

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Chronic eosinophilic leukemia (CEL) is a rare cause of eosinophilia. CEL is known to be associated with BCR-ABL fusion gene or rearrangement of platelet-derived growth factor receptor alpha (PDGFRA), (Platelet-derived growth factor receptor betaPDGFRB or fibroblast growth factor receptor-1. CEL, no specific type excludes patients with the above mutations and necessitates the presence of clonal cytogenetic abnormality or blast cells more than 2% in peripheral blood and more than 5% in bone marrow. Imatinib mesylate inhibits Fip 1-like 1 (FIP1L1)-PDGFRA-induced colony formation, enabling cells to undergo normal differentiation. Our patient was diagnosed as a case of CEL on clinical grounds along with bone marrow morphology, and imatinib therapy was initiated empirically. Results of FIP1L1-PDGFRA gene rearrangements available subsequently were in concordance with patient profile and response to imatinib therapy.


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