Hi, have just read everyones comments on this post. I was dx in June 2006 and have over the years been through many of the possible courses that have been listed in the following comments, I worked in the print industry, have been on very high doses of steroids for three years for another rare blood disorder, treatment for endometriosis over nine months which the doc told me was poison and to flush to pills down the toilet ( hospital consultant did get struck off), had a lung scan were I was injected with radioactive dye and an angiogram where they also inject with dye, prolonged period of extreme stress and a few acute viral infections, shingles, glandula fever etc,. so I have know idea what to point the finger at. After reading this post I decided to do a bit of research on the net and came across this article, which is a discussion between Dr's. I have pasted a small section below and have put the link to the site after that. It is in doctor speak and judging by the pictures its quite old but is very interesting.
Happy new year to you all
Apryl
Dr. Ostertag: Dr. Stohlman, you are talking about three compartments of the hemopoietic system: the compartment of the pluripotent stem cell, the compartment of committed stem cells and the differentiated compartment of megakaryocytes of myeloid and erythroid elements. You further say that in your view leukemia originates back in the pluripotent stem cell compartment. As supportive evidence you cite the chromosomal change as observed in CML as Philadelphia chromosome, which can be found in cells of all three compartments. Now you do get a specific chromosomalchange in many patients all suffering from chronic myelocytic leukemia; why can't you get the Same kind of chromosomal translocation at the Same time in different compartments of the hemopoietic system of the Same patient. A viral etiology could easily account for that.
Dr. Stohlman: If we assume for the moment a viral etiology, and I would suggest weare really talking about a virus, then this virus theoretically might affect DNA in a number of ways. The numbers of different types of leukemia are quite restricted, which leads me to think that most effects of viruses are lethal. Whether the immunologic surveillance system identifies and destroys those transformed cells which are recognized as abnormal, perhaps due to membrane changes, or the transformation results in an intrinsically abnormal cell which dies, perhaps after a few divisions, I don't know. The reason a Person gets chronic myeloic leukemia, acute myelocytic leukemia or acute lymphocytic leukemia may be either due to the species of virus that transforms the molecule or the Same species may hit DNA at random, most of the lesions being lethal, only a few of them being compatible with proliferation; the Philadelphia chromosome is one manifestation and is associated with CML. It would be most improbable for all patients to have three different cell types affected simultaneously.
To read the whole article follow this link
http://www.science-connections.com/profiles/ostertag/discussion.html