Table 1.

Criteria for the Diagnosis of JMML

CategoryItem
Suggestive clinical features         Minimal laboratory criteria (all 3 have to be fulfilled)       Criteria requested for definite diagnosis (at least 2) 1. Hepatosplenomegaly (97%) 2. Lymphadenopathy (76%) 3. Pallor (64%) 4. Fever (54%) 5. Skin rash (36%) 1.  No Ph chromosome, no bcr-abl rearrangement 2.  Peripheral blood monocyte count >1 × 109/L 3. Bone marrow blasts <20% 1.  Hemoglobin F increased for age 2.  Myeloid precursors on peripheral blood smear 3.  White blood count >10 × 109/L 4.  Clonal abnormality (including monosomy 7) 5.  GM-CSF hypersensitivity of myeloid progenitors in vitro 
CategoryItem
Suggestive clinical features         Minimal laboratory criteria (all 3 have to be fulfilled)       Criteria requested for definite diagnosis (at least 2) 1. Hepatosplenomegaly (97%) 2. Lymphadenopathy (76%) 3. Pallor (64%) 4. Fever (54%) 5. Skin rash (36%) 1.  No Ph chromosome, no bcr-abl rearrangement 2.  Peripheral blood monocyte count >1 × 109/L 3. Bone marrow blasts <20% 1.  Hemoglobin F increased for age 2.  Myeloid precursors on peripheral blood smear 3.  White blood count >10 × 109/L 4.  Clonal abnormality (including monosomy 7) 5.  GM-CSF hypersensitivity of myeloid progenitors in vitro 

Numbers in parenthesis refer to the percentage of patients with the particular clinical feature.2-1 

Abbreviation: Ph, Philadelphia.

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