Mixed cryoglobulinemia is considered a lymphoproliferative disorder ch
aracterized by several clinical symptoms (arthralgias, purpura and wea
kness) and often by organ involvement. Recently, evidence of hepatitis
C virus infection in the majority of these patients has been shown, e
ven in absence of clinical and/or laboratory signs of chronic liver di
sease, suggesting that this virus could be the main etiologic agent of
mixed cryoglobulinemia. Finally, HCV has revealed a lymphotropism bot
h in vitro and in vivo. On the basis of these findings, the systematic
identification of HCV in different hematological diseases revealed an
increased prevalence of HCV infection in non-Hodgkin's lymphomas, esp
ecially in immunocytomas, The present work offers an overview of a lar
ge number of experimental and clinical observations supporting the pos
sible involvement of HCV in human lymphoproliferative disease.