Marrow failure: hemoglobin <10 g/dL or platelet count <100 × 109/L |
Massive, progressive, or symptomatic splenomegaly |
Massive, progressive, or symptomatic lymphadenopathy |
Progressive lymphocytosis with ≥50% increase over 2-mo period, or lymphocyte doubling time <6 mo |
Autoimmune complications poorly responsive to corticosteroids |
Symptomatic extranodal involvement |
Disease-related symptoms: weight loss ≥10% over 6 mo, significant fatigue, fevers for 2 or more weeks without infection, night sweats ≥1 mo without infection |