【The initial visit】
#1. Idiopathic thrombocythaemia. PLT600,000/μl and above, hemoglobin concentration 13g/dl, abnormal total red cell volume (32ml/kg and below). Reactive thrombocythaemia was refuted because she was Ph chromosome negative.
#2.ATL
Present history
【Present Illness】gingival bleeding, epistaxis, and mild splenomegaly.
【Course】
13 years after the initial visit: Secondary MDS(RAEB-Ⅰ)
14 years after the initial visit: conversion to AML(M7)