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■Detailed data
Sex female
Age 40-44
Misc 2010-2014
Chief Complaint Fever、anorexia、weight loss
Past history Nothing particular
Present history Fever was sustained because it was causing swollen cervical lymph nodes two months after repeated heat generation (38 ℃) from a year ago, lymphadenopathy, but was lost in antimicrobial therapy a doctor in a nearby hospital. We showed general malaise, loss of appetite, weight loss (down 4Kg in six months) without remission after two months, antimicrobial agents, and the oral antipyretic as flame upper airway at a nearby hospital cause a fever of 39 ℃. Was referred to our hospital after two months, will be further recognized leukopenia. Superficial lymph nodes are not palpable, acknowledged hepatomegaly and splenomegaly. Underwent splenectomy for spleen was observed only in the integrated PET-CT. (size 11x7cm, weight 350g )
Laboratory findings WBC1.9×10³/μl(St-Seg53,Ly43,Mo4%)、RBC4.2×106/μl、Hb11.0g/dl、Ht33.6%、MCV80.0fl、MCH26.2pg、MCHC32.7%、PLT13.4×104/μl、NCC5.6×104/μl、PT13.7sec、APTT47.1sec、Fbg20mg/dl、D-dimmer 10.1μg/ml、TP8.8g/dl、LDH912IU/l、Ferritin 2,920ng/ml、
sIL-2R 912IU/l
【additional checking】ANA 6.0Index、anti-dsDNA 3.6Iu/ml、C3 176mg/dl、C4 32mg/dl、CH50>55Iu/l、HIV antibody(-)、EBVCA-Ig 80、EBVCA-IgM <10、 EB-antiEBNA 40