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■Detailed data
Sex male
Age 60-64
Misc 1980-1984
Chief Complaint General fatigue and Splenomegaly.
Past history Gastric Ulcer (50's), Diabates (50's).
Present history General fatigue and leukocytosis were noted by the family doctor and the patient was admitted into this hospital. This was a case of blast crisis due to Ph negative CML 8 years after the diagnosis.
Laboratory findings 【The initial visit】
WBC 104.2×10³/μl (Blast1, Promy13, My13, Met7,
St-Seg33, Ly3, Eo6, Ba8%)
RBC 4.59×106/μl、Hb 13.8g/dl、Ht 42.1%、PLT 28.8×104/μl
MCV 91.7fl、MCH 30.0pg、MCHC 32.8%、
NCC 53.6×104/μl、MgK 187.5/μl (Blast3.0%, M/E比16.4)
【At the time of Acute crisis】
WBC 24.1×10³/μl (Blast29, Promy3, My2, Met3, St-Seg45, Ly7, Eo1, Ba8, Mo2%)
RBC 2.39×106/μl、Hb 6.1g/dl、Ht 23.9%、PLT 1.2×104/μl
MCV 100.0fl、MCH 25.5pg、MCHC 25.5%、NCC 4.0×104/μl(15.2%)