Prethymic cytoplasmic CD3 negative acute lymphoblastic leukemia or acute undifferentiated leukemia: a case report

Acute undiffentiated leukemia (AUL) is an acute leukemia with no more than one membrane marker of any given lineage. Blasts often express HLA-DR, CD34, and/or CD38 and may be positive for terminal deoxynucleotidyl transferase (TdT). The expression of CD34, HLA-DR, and CD38 has been shown in pro-T-ALL, although in this case, blasts should also express CD7 and cyCD3. However, some cases of T-ALL without CD3 in the cytoplasm and all TCR chain genes in germ line configuration are reported, features that fit well with a very early hematopoietic cell. We report a case of acute leukemia CD34+/-HLADR+CD7+CD38+cyCD3- in which a diagnosis of AUL was considered. However the blasts were also positive for CD99 and TCR delta gene rearrangement which was found on molecular studies. Therefore a differential diagnosis between AUL and an early cyCD3 negative T-ALL was debated

Simultaneous presentation of Waldenström macroglobulinemia and multiple myeloma: multidisciplinary diagnosis, treatment and 30-month follow-up.

Waldenström macroglobulinemia and multiple myeloma are mature B-cell neoplasms deriving from post-germinal cells at different stages of differentiation. The simultaneous presentation of Waldenström macroglobulinemia and multiple myeloma in the same patient is a very rare phenomenon and, so far, only two cases have been described. We report the case of a 75-year Caucasian female patient, with a silent clinical history, who presented with anemia and two different monoclonal proteins (IgMκ and IgGκ). The trephine biopsy showed the presence of a dual population, represented by small lymphoplasmacytoid cells and by plasma cells, which infiltrated the bone marrow with a clearly different pattern. Both immunohistochemistry and flow cytometry demonstrated the biclonal origin such neoplastic cells, since lymphoplasmacytoid cells resulted IgMκ while plasma cells were IgGκ. This biclonal pattern was further confirmed by the demonstration of a different IgH gene rearrangement of the two neoplasms. The patient was treated with bortezomib, dexamethasone and rituximab, achieving partial remission of both Waldenström macroglobulinemia and multiple myeloma. After a 30-month follow-up, she is in stable disease. Multiple myeloma has been described in association with other indolent B-cell neoplasms, mostly chronic lymphocytic leukemia, while Waldenström macroglobulinemia can be followed by diffuse large B-cell lymphoma in some instances, after chemotherapy. The association of Waldenström macroglobulinemia and multiple myeloma seems to be very rare. Our study shows that an integrated diagnostic work-up is very useful in such cases, with an interesting role for flow cytometry. [J Clin Exp Hematop 53(1): 29-36, 2013]

MICROTREMOR MEASUREMENTS IN PALERMO, ITALY: A COMPARISON WITH MACROSEISMIC INTENSITY AND EARTHQUAKE GROUND MOTION

The city of Palermo is an appropriate test site where the efficiency of microtremors in predicting ground motion properties during earthquakes can be checked. Palermo is a densely populated city with important historical heritage and was object of previous studies. Areas of local amplification of damage were identified in downtown Palermo using historical macroseismic data. Moreover, aftershocks of the September 6, 2002, earthquake (Mw 5.9, 40 km offshore) provided a dataset of seismograms that quantify spatial variations of ground motion. The availability of more than 2000 boreholes in the city allowed a reconstruction of the 3D structure of surface geology, indicating that all the higher damage zones correspond to sediment-filled valleys. The high variability of the surface geology is mostly due to the presence of two filled river-beds of about 150 m width. In the framework of the SESAME project (Seismic EffectS assessment using Ambient Exctations, funded by the European Union), 90 microtremor measurements were performed across several profiles crossing the soft sediment bodies. The measurement points were intensified close to the valley edges (every 20 m), according to our geological reconstruction. H/V spectral ratio on ambient noise (HVSR) show significant variations along each profile: as soon as the transition stiff to soft is crossed, a typical spectral peak exceeding a factor of 3 in amplitude appears in the HVSR. The peak falls between 1 and 2 Hz and, along each profile, the peak disappears as soon as the other edge of the valley is crossed. These results indicate that microtremors are sensitive to the presence of large impedance contrasts of deep soft soil, at least in the Palermo area, with an important implication: the HVSR method seems to be able to recognize conditions potentially favourable to the occurrence of higher damage even when local geological characters are masked by the urban growth. However, we were not able to establish a quantitative correlation between microtremor properties and ground motion (or damage) amplification

Local variability of the ground shaking during the 2009 L’Aquila earthquake (April 6, 2009—Mw 6.3): the case study of Onna and Monticchio villages

The 2009 Mw 6.3 L’Aquila event caused extensive damage in the city of L’Aquila and in some small towns in its vicinity. The most severe damage was recognized SE of L’Aquila town along the Aterno river valley. Although building vulnerability and near-source effects are strongly responsible for the high level of destruction, site effects have been invoked to explain the damage heterogeneities and the similarities between the 2009 macroseismic field with the intensities of historical earthquakes. The small village of Onna is settled on quaternary alluvium and suffered during the L’Aquila event an extremely heavy damage in the masonry structures with intensity IX–X on the Mercalli-Cancani-Sieberg (MCS) scale. The village of Monticchio, far less than 1.3 km from Onna, is mostly situated on Meso- zoic limestone and suffered a smaller level of damaging (VI MCS). In the present paper, we analyze the aftershock recordings at seismic stations deployed in a small area of the middle-Aterno valley including Onna and Monticchio. The aim is to investigate local ampli-fication effects caused by the near-surface geology. Because the seismological stations are close together, vulnerability and near-source effects are assumed to be constant. The wave- form analysis shows that the ground motion at Onna is systematically characterized by large high-frequency content. The frequency resonance is varying from 2 to 3 Hz and it is related to alluvial sediments with a thickness of about 40 m that overlay a stiffer Pleistocene substrate. The ground motion recordings of Onna are well reproduced by the predictive equation for the Italian territory.Published783-8072T. Sorgente SismicaJCR Journalreserve

Sesame Project - Deliverable D08-02 - WP02 H/V technique : experimental conditions - Final report on Measurement Guidelines

In the following we report the final results for WP02-Measurement Guidelines. This work was conducted under the framework of the SESAME Project (Site Effects Assessment Using Ambient Excitations, EC-RGD, Project No. EVG1-CT-2000-00026 SESAME), Task A (H/V technique), Work Package 02 (WP02 – Measurement Guidelines).European Commission – Research General Directorate Project No. EVG1-CT-2000-00026 SESAMEPublished4.1. Metodologie sismologiche per l'ingegneria sismicaope

Circulating ringed sideroblasts in the course of the initial erythremic phase of erythroleukemia

No abstract availabl

The syndrome of abnormal chromatin clumping in leukocytes

No abstract availabl

Association between Non-Hodgkin’s Lymphoma and essential thrombocythemia

No abstract availabl

Lithium effects on neutrophil motility in Shwachman-Diamond syndrome: evaluation by computer-assisted image analysis

No abstract availabl