Interferon Alpha is another active drug. Some patients with HCL may develop an immune mediated low platelet count, which is due to destruction of platelets and not due to stage 4 disease. A bone marrow test will make this determination. Such patients are normally treated with Prednisone or IV IgG . Certain patients may be treated with Bone Marrow Transplantation .
Most patients have excellent prognosis.
The disease will remain silent for years with treatment.