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Living with Hairy cell leukemia

A rare, slow-growing blood cancer in which the bone marrow makes too many B cells that look "hairy" under a microscope.

Understanding Hairy cell leukemia

Hairy cell leukemia is a rare, slow-growing cancer of the blood in which the bone marrow makes too many B cells.

B cells (lymphocytes) are white blood cells that fight infection. As leukemia cells increase, fewer healthy white blood cells, red blood cells, and platelets are made. It is diagnosed with a bone marrow biopsy and blood tests, and the leukemia cells show a specific change in the BRAF gene. It is usually noticed in adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Enlarged spleen without swollen lymph nodes
  • Fever
  • Night sweats
  • Fatigue
  • Weight loss
  • Low blood cell and platelet counts

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include blood and bone marrow specialists and cancer specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Cancer specialists (oncologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with American Cancer Society and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What does the BRAF gene change mean for my treatment?
Which tests and blood counts will track my condition?
How can I lower my risk of infection while my blood counts are low?

Quick facts

Symptoms usually startAdult

GARD says the cause is still unknown. The leukemia cells show a specific change in the BRAF gene, which increases the growth and spread of cancer cells.

Blood

Also known as: classic hairy cell leukemia; hairy cell leukemia (clinical); hcl; hcl - hairy cell leukemia; hcl-c; leukemic reticuloendotheliosis

Patient organizations

Source: NIH GARD · Hairy cell leukemiaGARD ID 6560 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hairy cell leukemia.

Explore the Hairy cell leukemia blog

Explore research for Hairy cell leukemia

Explore actively recruiting Hairy cell leukemia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hairy cell leukemia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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