PT - JOURNAL ARTICLE AU - J R Neilson AU - W N Patton AU - M D Williams AU - E E Mayne AU - B J Boughton TI - Polycythaemia rubra vera transforming to acute lymphoblastic leukaemia with a common immunophenotype. AID - 10.1136/jcp.47.5.471 DP - 1994 May 01 TA - Journal of Clinical Pathology PG - 471--472 VI - 47 IP - 5 4099 - http://jcp.bmj.com/content/47/5/471.short 4100 - http://jcp.bmj.com/content/47/5/471.full SO - J Clin Pathol1994 May 01; 47 AB - Lymphoblastic transformation of polycythaemia rubra vera is an extremely rare phenomenon. A case of a 76 year old man with polycythaemia rubra vera who developed acute lymphoblastic leukaemia (ALL) 16 years after his initial diagnosis is reported. Membrane markers showed a CD10 positive (common ALL) immunophenotype. To our knowledge this association has not been previously recorded. The rare occurrence of ALL in polycythaemia rubra vera may indicate that in a minority of patients clonal expansion of an abnormal pluripotent haemopoietic stem cell is responsible for the polycythaemia rubra vera disease phenotype.