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To the Editor: Cramer et al. [1] are to be congratulated for their thorough and informative review of central nervous system involvement in chronic lymphocytic leukemia (CLL). The importance of cell marker studies deserves re-emphasis. A number of the case reports cited describe patients assessed before the advent of these techniques; and as such they should be treated with some caution, as the following case demonstrates.
Case report.
This man presented at the age of 61 years in 1993. For a number of months he had noted abnormalities of his vision, with vertical lines appearing ``warped'' and difficulty reading fine print. Examination revealed intact visual fields, visual acuities of 6/5 …
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