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■Detailed data
FAB Group > Acute myeloid leukem... > Monocytic leukemia > Differentiated type
Sex male
Age 70-74
Misc 2005-2009
Chief Complaint General fatigability and shortness of breath on exertion.
Past history Nothing particular.
Present history He visited the family doctor due to general fatigue and exertional breathlessness. Leukocytosis and thrombopenia were noted and he was referred here.
He showed 8% of blast with Leukocytosis (39,770/μl) and he was hospitalized for further tests . lymphadenopathy(not found), splenohepatomegaly(found). He showed a normal karyotype. After about three months following admission, blood macrophages were noticeable in the bone marrow, and a karyotypic abnormality at t(8;19) and other structural aberrations were found in the chromosomes.
Laboratory findings 【The initial visit】
WBC 39.77×10³/μl (Blast8, Pro8, My5, Meta3, St-Seg56,Ly7, Mo10, Eo3%)、
RBC 3.90×106/μl、Hb 12.4g/dl、
Ht 35.7%、PLT 4.6×104/μl、
MCV 91.6fl、MCH 31.7pg、MCHC 34.6%、
NCC 33.6×104/μl、MgK 80/μl(Blast58.4%, Myeloid20.0, Mo18.5%)
Fbg 220mg/dl、FDP 21.6μg/ml、D-dimer 16.9μg/ml、
LD 2,093IU/l、sIL-2R 1,322μg/ml
【Three months later】
WBC 2.24×10³/μl (Blast0, Mo14%)
RBC 2.38×106/μl、Hb 7.5g/dl、
Ht 21.8%、PLT 3.4×104/μl