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■Detailed data
FAB Group > Myelodysplastic synd... > Refractory anemia wi...
Sex female
Age 10-14
Misc 2000-2004
Chief Complaint Atypical genital bleeding and pancytopenia.
Past history However mild pancytopenia was found, and she received no follow-up care.
Present history She has had fatigue for one month and menstrual bleeding continued for ten days. She visited a gynecologist but no abnormality was found. She saw her family doctor because of pancytopenia and was referred to this hospital and was admitted with the suspicion of acute leukemia. She had a poor performance status, bulbar conjunctiva (Mild yellow-stained) andpalpebral conjunctiva (Pale). Her oral cavity showed mild redness in the pharynx redness.
splenohepatomegaly(not found), lymphadenopathy(not found).
Laboratory findings WBC 1.15×10³/μl (Blast2, St-Seg38, Ly55, Eo2, Atly3%)
RBC 1.32×106/μl、Hb 4.5g/dl、
Ht 14.0%、PLT 4.4×104/μl、
MCV 106fl、MCH 34.0pg、MCHC 32.1%、
NCC 19.4×104/μl、MgK 15.0/μl
(Blast 6%)

PT 66%、APTT 29.5sec、Fbg 287mg/dl、FDP 13.3ng/ml、
D-dimer 0.37μg/ml、ATⅢ 106%、
TP 5.6g/dl、BUN 6.2mg/dl、AST 18IU/l、ALT 7IU/l、LD 327IU/l、UA 4.1mg/dl、CRP 0.14mg/dl、T.Bil 1.3mg/dl、D-bil 0.6mg/dl、Haptoglobin 7mg/dl、
direct-Coomhs(+++)、irregular antibody:Leb.antibody(+)