Acute erythroid leukemia

Last revised by Joachim Feger on 3 Jul 2024

Acute erythroid leukemia (AML-M6 or AEL) is a subtype of acute myeloid leukemia (AML) with a predominance of erythroid precursors.

This type accounts for less than 5% of all cases of acute myeloid leukemia 1.

The diagnosis is histological.

According to the World Health Organization (WHO), a biopsy sample with ≥30% proerythroblasts and erythroid precursors accounting for ≥80% of cellularity is required to make a diagnosis 2.

This can be divided into two morphologic categories:

  • erythroleukemia (M6a), consisting of myeloblasts and erythroid precursors

  • pure erythroid leukemia (M6b)

  • erythroleukemia and pure erythroid leukemia (M6c): myeloblast- and proerythroblast-rich mixed variant.

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