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■Detailed data
Sex female
Age 35-39
Misc 1990-1994
Chief Complaint Tendency to bleeding and abdominal distention.
Past history 【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)
Laboratory findings 【The initial data】
WBC 14.3×10³/μl、RBC 4.6×106/μl、Hb 13.1g/dl、Ht 38.3%、MCV 83.3fl、MCH 28.5pg、
MCHC 34.2%、PLT 106.3×104/μl、
NCC 8×104/μl、Mgk 6.3/μl、
LD 281IU/l、TP 6.2g/dl、Ca 9.0mg/dl、
UA 2.5mg/dl、anti HTLV-1 antibody(+)、Total red cell volume 26ml/kg