Aa. Genkin et al., LYMPHOGRANULOMATOSIS - SYSTEMIC ANALYSIS OF AGE AND SEX CHARACTERISTICS OF HEMATOPOIESIS AND METABOLISM, Terapevticeskij arhiv, 69(2), 1997, pp. 37-45
72 clinical and laboratory features were analyzed on the IBM PC 486 fo
r 126 new cases of lymphogranulomatosis prior to treatment. Myelograms
were found to vary with sex and age of the patients demonstrating clo
se relations between hemopoiesis and processes in the lymph nodes. In
males maturation of myeloid elements KM was inhibited, though they had
more monocytes KM. These monocytes got more numerous in unfavorable h
istological variants and generalization. Lymphopenia and monocytosis w
ere more pronounced in patients under 30 becoming more severe in gener
alization and intoxication. Age-related changes in cholesterol in lymp
hogranulomatosis patients were abnormal: in older patients cholesterol
was low. This phenomenon is extremely unfavorable. The findings eluci
date prognostic value of sex and age in lymphogranulomatosis and sugge
st a hypothesis that monocytes (macrophages) and secreted by them mono
kines are responsible for specific intoxication, neutrophilia and lymp
hopenia. Berezovsky-Sternberg cells may be hybrids of macrophages and
B-lymphocytes.