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Persistent polyclonal B-cell lymphocytosis (PPBL) is a rare, generally benign, lymphoproliferative hematological disease characterized by: chronic, stable, persistent, polyclonal lymphocytosis of memory B-cell origin, the presence of binucleated lymphocytes in the peripheral blood, and a polyclonal increase in serum immunoglobulin M (IgM). Patients are most frequently asymptomatic or may present with mild splenomegaly.
Features include: Decreased circulating total IgM, Recurrent infections, Enlarged liver (hepatomegaly), and Increased total lymphocyte count and 1 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 2 | Recurrent infections, Enlarged spleen (splenomegaly) |
Biomarker and diagnostic research for persistent polyclonal B-cell lymphocytosis has been reported in the published literature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for persistent polyclonal B-cell lymphocytosis.
3 publications have been identified in PubMed for persistent polyclonal B-cell lymphocytosis. Research spans Diagnostic / Biomarker (33%), Case Report / Case Series (33%), and Basic Science / Preclinical (33%).
Guarnera L (2026). [PMID: 40983034](https://pubmed.ncbi.nlm.nih.gov/40983034/). *Blood*. [Basic Science / Preclinical]
Rodgers M (2025). [PMID: 41205250](https://pubmed.ncbi.nlm.nih.gov/41205250/). *Journal of comparative pathology*. [Case Report / Case Series]
Laganà A (2025). [PMID: 39830795](https://pubmed.ncbi.nlm.nih.gov/39830795/). *Mediterranean journal of hematology and infectious diseases*. [Diagnostic / Biomarker]
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 6:06 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
2 |
Enlarged liver (hepatomegaly), Enlarged spleen (splenomegaly) |