Анамнез и осмотр

Ключевые диагностические факторы

общие

shortness of breath and fatigue

Due to anemia caused by CLL, or due to autoimmune hemolytic anemia (a complication of CLL occurring in 5% to 10% of patients).[34][35]

Shortness of breath may be present in patients with advanced disease.

lymphadenopathy

Painless lymphadenopathy is common.[3]

Presence of lymphadenopathy can guide staging and treatment. See Diagnostic criteria and Management sections.

splenomegaly

Present in approximately 50% of cases.[4]

Presence of splenomegaly can guide staging and treatment. See Diagnostic criteria and Management sections.

Редкие

hepatomegaly

Present in approximately 14% of cases.[4] 

Presence of hepatomegaly can guide staging and treatment. See Diagnostic criteria and Management sections.

Другие диагностические факторы

Редкие

B symptoms

A minority of patients (approximately 10%) present with B symptoms (fever, drenching night sweats, unintentional weight loss) or other symptoms (e.g., chills, fatigue).[4]

Presence of B symptoms can guide treatment. See Management section.

recurrent infections

Due to dysfunctional lymphocytes and subsequent hypogammaglobulinemia.

May be present in patients with advanced disease.

epistaxis

Sign of thrombocytopenia.

May be present in patients with advanced disease.

pallor

Sign of anemia.

petechiae

Sign of thrombocytopenia.

Факторы риска

сильный

age over 60 years

Median age at diagnosis in the US is 70 years; approximately 69% of diagnoses occur in people age ≥65 years.[7]

family history of CLL

Approximately 5% to 10% of cases are familial.[15][16]

One Swedish registry study reported a 7.5-fold increased risk for CLL in first-degree relatives of those with CLL.[31]

слабый

male sex

CLL is more common in men than in women (6.3 vs. 3.3 new cases per 100,000, respectively; 2017-2021 age-adjusted US data).[7]

white ethnicity

CLL is more common in white people than people of other races/ethnicities.[7]

In the US, incidence in non-Hispanic white people is 7.8 per 100,000 males and 4.1 per 100,000 females, respectively (2017-2021, age-adjusted US data).​[7]

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