Table 1

WBC counts (× 109/L) as indication for leukapheresis in hyperleukocytosis

SymptomaticAsymptomatic
AML > 50 000 > 100 000 
ALL > 150 000 > 300 000 
CML > 150 000 No 
CLL > 500 000 No 
APL No No 
SymptomaticAsymptomatic
AML > 50 000 > 100 000 
ALL > 150 000 > 300 000 
CML > 150 000 No 
CLL > 500 000 No 
APL No No 

In the presence of unequivocal retinal findings, leukapheresis may be performed for even lower WBC counts.

CML indicates chronic myeloid leukemia; and CLL, chronic lymphocytic leukemia.

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