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ASH Image Bank (2004); doi:10.1182/ashimagebank-2004-101260
Copyright © 2004 by the American Society of Hematology.
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Atlas Image Set

Sézary Syndrome

Marshall Kadin



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Figure 1. Generalized erythoderma in a patient with Sézary syndrome-a triad of erythroderma, lymphadenopathy and circulating neoplastic lymphocytes. Patients often experience intense itching and loss of body heat through skin.

 


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Figure 2. Blood smear stained with Giemsa showing Sézary cell with convoluted nucleus. Sézary cells may be confused with monocytes which are of similar size and have a folded nucleus. Further distinction is facilitated by Periodic-acid-Schiff (PAS) stain which shows coarse granules surrounding the nucleus in cytoplasm of Sézary cells and fine dispersed granules in monocytes. Flow cytometry will also identify Sézary cells as T cells which express surface CD3 and CD4, but commonly lack CD7 antigen.

 


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Figure 3. Higher magnification of Sézary cell with convoluted nulceus and small nucleoli.

 

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ASH Image Bank 2001 2001: 100213. [Full Text]

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Related ASH Education Book Article logo
Primary Cutaneous T-Cell Lymphomas
Steven T. Rosen and Christiane Querfeld
Hematology 2006 2006: 323-330. [Abstract] [Full Text]



Related ASH-SAP Chapter:space logo
Chapter 12: Lymphoproliferative disorders

This Article
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Right arrow Articles by Kadin, M.
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Right arrow T-Cell and NK-Cell Neoplasms
Right arrow Related ASH-SAP Chapter
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Right arrowRelated ASH Education Book Article
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Copyright © 2004 by the American Society of Hematology.