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■Detailed data
Sex male
Age 50-54
Misc 2010-2014
Chief Complaint Fever、Pancytopenia
Past history Nothing particular
Present history Patient showed a fever two weeks ago, it was the oral over-the-counter cold medication, but it was referred to a nearby clinic and did not improve. Had been looking at the state in anti-inflammatory sedative,but high fever did not improve. Was consulted to hematology of our hospital because decrease in platelet and white blood cell reduction was observed.
Palpebral conjunctiva: anemia, bulbar conjunctiva: no jaundice, no lymph node enlargement, there is hepatosplenomegaly.
Laboratory findings WBC3.3×10³/μl(My1,St1,Seg43,Mo12,,Ly5,Abnormal cells 38%)、RBC3.2×106/μl、Hb10.2g/dl、Ht31.9%、MCV99.6fl、MCH31.9pg、MCHC32.0%、PLT3.4×104/μl 、NCC9.4×104/μl、TP6.0g/dl、AST210IU/l、ALT101IU/l、LDH960IU/、BUN10mg/dl、Cre0.9mg/dl、TC126mg/dl、CRP2.41mg/dl、Ferritin2,960ng/ml、PT 97.6%、INR1.01、APTT31.5sec、Fbg218mg/dl、FDP22.4μg/ml、D-dimer18.5μg/ml、ATⅢ78.0%、EBvirus:VCA-IgG160,VCA-IgM<10,EA-IgG<10,EA-IgM<10,EBNA10、EBvirusDNA:5.4x104copy/106cells、EBV-DNA:monoclonal(+)