Chromosome pulverization (premature chromosome condensation, PCC) was studied in bone marrow cells of healthy subjects and of patients suspected of having a blood disease. Cytogenetic preparations in 250 patients were made by the so‐called direct method and in 33 subjects by the Harlequin technique (culture in 5‐bromodeoxyuridine and staining with the fluorescent agent Hoechst 22358 and Giemsa (FPG)). By the direct technique, only 4 patients were found to have PCC: 1 untreated child with acute lymphocytic leukaemia (ALL), 2 treated children (one with ALL and the other with malignant lymphoma), and 1 adult who had acute non‐lymphocytic leukaemia (ANLL) with megaloblastoid erythroid maturation. By the Harlequin technique another 4 patients, with megaloblastic anaemia, were shown to have PCC. However, neither the controls nor the patients with leukaemia had PCC by this technique.
The patients who had PCC also had a high frequency of multinucleate cells in their bone marrow smears, or polyploid mitoses in the cytogenetic preparations. Thus, we believe that the abnormalities mentioned above cause nuclear asynchrony, which is generally regarded as the main reason for PCC.