We present the clinical and laboratory features of 2 patients with B p
rolymphocytic leukemia, Both are females of the fifth and seventh deca
de of life. One had the classical clinical picture of massive splenome
galy and a high white cell count, with characteristic prolymphocytes,
and the other was asymptomatic, with a low white cell count. The cells
were positive to B cell lineage reagents with strong surface immunogl
obulin (Ig) and unreactive to T cell antibodies. Analysis of Ig genes
at the DNA level demonstrated that both cases had heavy-chain gene rea
rrangements, confirming the B-cell origin. These are the first patient
s of prolymphocytic leukemia described in Chile.