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January 1982

Acquired Pelger-Huët Nuclear Anomaly With Tuberculosis

Author Affiliations

From the Department of Medicine, Hematology Section, Baylor College of Medicine; and the Veterans Administration Medical Center, Houston. Dr Shenkenberg is now with the University of Texas Southwestern Medical School, Dallas.

Arch Intern Med. 1982;142(1):153-154. doi:10.1001/archinte.1982.00340140155028

• Karel Pelger described an abnormality of granulocyte nuclear segmentation in the context of advanced tuberculosis, but G. Huët questioned this association. It is now recognized that the Pelger-Huët nuclear anomaly (PHNA) can be either hereditary or acquired with systemic diseases, commonly hematologic dysplasias. An association with tuberculosis has never been well verified. The man described in our study had cachexia, high fevers, severe hypoproliferative anemia, and acquired PHNA. At autopsy, an overwhelming tuberculosis was discovered in the absence of any other underlying disease. Acquired PHNA may serve as a diagnostic and prognostic indicator in tuberculosis.

(Arch Intern Med 1982;142:153-154)

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