A review of recent information on the abnormalities of the blood cell
membrane in paroxysmal nocturnal haemoglobinuria (PNH) is presented, w
ith a detailed analysis of biochemical and flow cytometry findings. Th
e complex patterns observed in the various cell lineages of which the
PNH clone consists are described, and a simplified monoclonal antibody
panel is defined for diagnostic purposes. Available data on in vitro
culture of progenitor cells and on the recent establishment of PNH cel
l lines are summarized. Finally, we discuss speculative hypotheses on
the growth advantage of the PNH clone.