Skip to main content
Log in

B cell small lymphocytic lymphoma and chronic lymphocytic leukemia with peripheral neuropathy: two cases with neuropathological findings and lymphocyte marker analysis

  • Regular Papers
  • Published:
Acta Neuropathologica Aims and scope Submit manuscript

Summary

Two patients with lymphoproliferative disorders developed peripheral neuropathy and neoplastic lymphocytic nerve infiltrates. One of these patients, with B cell small lymphocytic lymphoma, presented with a chronic axonal neuropathy. CD22+, CD5 cells were identified in the epineurium. The other patient with chronic lymphocytic leukemia of 3 years duration developed a mixed axonal and demyelinating neuropathy. CD22+ and CD5+ cells were observed in the endoneurium. While the cause of the neuropathy in these two cases is unknown, intraneural or systemic autoantibody production may have led to the development of disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Asbury A, Johnson PC (1978) Pathology of peripheral nerve. Saunders, Philadelphia, pp 120–135

    Google Scholar 

  2. Barron KD, Rowland LP, Zimmerman HM (1960) Neuropathy with malignant tumor metastases. J Nerv Ment Dis 131: 10–31

    Google Scholar 

  3. Borit A, Altrocchi PH (1971) Recurrent polyneuropathy and neurolymphomatosis. Arch Neurol 24:40–49

    Google Scholar 

  4. Dyck PJ, Karnes J, Lais A, Lofgren EP, Stevens JC (1984) Pathologic alterations of the peripheral nervous system of humans. IN: Dyck PJ, Thomas PK, Larnbert EH, Bunge R (eds) Peripheral neuropathy, 2nd edn. Saunders, Philadelphia, pp 812–817

    Google Scholar 

  5. Fabian RH (1990) Uptake of anti-neuronal IgM by CNS neurons: Comparison with anti-neuronal IgG. Neurology 40:419–422

    Google Scholar 

  6. Forssmann O, Bjoerkman G, Hollender A, Englund NE (1973) IgM-producing lymphocytes in peripheral nerves in a patient with benign monoclonal gammopathy. Scand J Hematol 11:332–335

    Google Scholar 

  7. Gherardi R, Gaulard P, Prost C, Rocha D, Imbert M, Chantel A, Rochant H, Facet JP (1986) T cell lymphoma revealed by a peripheral neuropathy. A report of two cases with an immunohistologic study on lymph node and nerve biopsies. Cancer 58:2710–2716

    Google Scholar 

  8. Guberman A, Rosenbaum H, Braciale T, Schlaepfer WW (1978) Human neurolymphomatosis. J Neurol Sci 36: 1–12

    Google Scholar 

  9. Hamblin TJ, Abdul-Ahad AK, Gordon J, Stevenson FK, Stevenson GT (1980) Preliminary experience in treating lymphocytic leukemia with antibody to immunoglobulin idiotypes on the cell surface. Br J Cancer 42:495–502

    Google Scholar 

  10. Hayakama K, Hardy RR (1988) Normal, autoimmune, and malignant CD5+ B cells: the Ly-1 B lineage? Annu Rev Immunol 6:197–218

    Google Scholar 

  11. Hays AP, Lee SS, Latov N (1988) Immune reactive C3d on the surface of myelin sheaths in neuropathy. J Neuroimmunol 18:231–244

    Google Scholar 

  12. Ince PG, Shaw PJ, Fawcett PRW, Bates D (1987) Demyelinating neuropathy due to primary IgM kappa B cell lymphoma of peripheral nerve. Neurology 37:1231–1235

    Google Scholar 

  13. Knowles DM, Tolidjian B, Marboe CC, Halper JP, Azzo W, Wang CY (1983) A new human B lymphocyte surface antigen (BL2) detectable by a hybridoma monoclonal antibody: distribution on benign and malignant lymphoid cells. Blood 62:191–198

    Google Scholar 

  14. Knowles DM, Dodson L, Burke JS, Wang JM, Bonetti F, Pelicci PG, Flug F, Dalla-Favera R, Wang CY (1985) SIg-E (“null cell”) non-Hodgkin's lymphomas: multiparametric determination of their B or T cell lineage. Am J Pathol 120:356–370

    Google Scholar 

  15. Kuroda Y, Nakata H, Kakigi R, Oda K, Shibasaki H, Nakashiro H, (1989) Human neurolymphomatosis by aduit T cell leukemia. Neurology 39:144–146

    Google Scholar 

  16. Latov N (1987) Waldenstrom's macroglobulinemia and nonmalignant IgM monoclonal gammopathies. In: Kelly JJ, Kyle RA, Latov N (eds) Polyneuropathies associated with plasma cell dyscrsias. Martinus Nijoff, Boston, pp 51–72

    Google Scholar 

  17. Lhermitte J, Trelles JO (1934) Neurolymphomatose peripherique humaine. Presse Med 42:289–292

    Google Scholar 

  18. McLeod JG, Walsh JC (1984) Peripheral neuropathy associated with lymphomas and other reticuloses. In: Dyck PJ, Thomas PK, Lambert EH, Bunge R (eds) Peripheral neuropathy, 2nd edn. Saunders, Philadelphia, pp 2192–2203

    Google Scholar 

  19. Meeker T, Lowder J, Maloney D, Thielemans K, Cleary M, Warnke R, Sklar J, Levy R (1984) Mechanisms of escape of human B cell malignancy from anti-idiotype serotherapy. Clin Res 32:507A

    Google Scholar 

  20. Olsson Y (1984) Vascular permeability in the peripheral nervous system. In: Dyck PJ, Thomas PK, Lambert EH, Bunge R (eds) Peripheral neuropathy, 2nd edn. Saunders, Philadelphia, pp 579–599

    Google Scholar 

  21. Qian GX, Fu SM, Solanki DL, Rai KR (1984) Circulating monoclonal IgM proteins in B cell chronic lymphocytic leukemia: their identification, characterization and relationship to membrane IgM. J Immunol 133: 3396–3400

    Google Scholar 

  22. Shoenfeld Y, Aderka D, Sandbank U, Gadot N, Santo M, Pinkhas J (1983) Fatal peripheral neurolymphomatosis after remission of histiocytic lymphoma. Neurology 33:243–245

    Google Scholar 

  23. Smith BR, Weinberg DS, Robert NJ, Towle M, Luther E, Pinkus GS, Ault KA (1984) Circulating monoclonal B-lymphocytes in non-Hodgkin's lymphoma. N Engl J Med 311:1476–1481

    Google Scholar 

  24. Sthoeger ZM, Wakai M, Tse DB, Vinciguerra VP, Allen SL, Budman DR, Lichtman SM, Schulman P, Weiselberg LR, Chiorazzi N (1989) Production of autoantibodies by CD5-expressing B lymphocytes from patients with chronic lymphocytic leukemia. J Exp Med 169:255–268

    Google Scholar 

  25. Sumi SM, Farrell DF, Knauss TA (1983) Lymphoma and leukemia manifested by steroid-responsive polyneuropathy. Arch Neurol 40:577–582

    Google Scholar 

  26. Takatsu M, Hays AP, Latov M, Abrams GM, Nemni R, Sherman WH, Nobile-Orazio E, Saito T, Freddo L (1985) Immunofluorescence study of patients with neuropathy and IgM M-proteins. Ann Neurol 18:173–181

    Google Scholar 

  27. Vital C, Bonnaud E, Arne L, Barrat M, Leblanc M (1975) Polyneuritis in chronic lymphoid leukemia. Ultrastructural study of the peripheral nerve. Acta Neuropathol (Berl) 32: 169–172

    Google Scholar 

  28. Walsh JC (1971) Neuropathy associated with lymphoma. J Neurol Neurosurg Psychiatry 34:42–50

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by center grants from the NIH (NINCDS-NS117661) and the Muscular Dystrophy Association to Columbia University, by a grant from the Aaron Diamond Foundation, and by NIH grants CA48236 and EY06337 to Dr. Knowles. Dr. Thomas is a fellow of the Charles A. Dana Foundation and of the Muscular Dystrophy Association

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thomas, F.P., Vallejos, U., Foitl, D.R. et al. B cell small lymphocytic lymphoma and chronic lymphocytic leukemia with peripheral neuropathy: two cases with neuropathological findings and lymphocyte marker analysis. Acta Neuropathol 80, 198–203 (1990). https://doi.org/10.1007/BF00308924

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00308924

Key words

Navigation