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■Detailed data
Sex male
Age 80-84
Misc 2010-2014
Type of cases Untypical case
Chief Complaint General malaise, shortness of breath on exertion
Past history Gastric cancer (78 years): distal gastrectomy
Present history He was referred to a nearby clinic and now aware of the shortness of breath on exertion than a month ago. He introduced admitted to our hospital because that is noted for leukocytosis in blood test, anemia, thrombocytopenia were also observed.
Body temperature 36.4 ℃, lucidity. There palpebral conjunctiva mild anemia, jaundice without bulbar conjunctiva, no palpable superficial lymph nodes. Do not allow the liver splenomegaly.
Laboratory findings WBC141.5×10³/μl
(Blast72,Promy1,Met1,St2,Seg16,Ly2,Mo1%)、
RBC2.74×106/μl、Hb8.5g/dl、Ht26.1%、MCV95.2fl、MCH31.0pg、MCHC32.5%、PLT8.2×104/μl 、TP6.8g/dl、AST29IU/l、ALT18IU/l、LDH640IU/、BUN35.2mg/dl、
Cre0.8mg/dl、UA6.4mg/dl、CRP0.3mg/dl、Ca9.3mg/dl、IgG1,521mg/dl、IgA510mg/dl、IgM187mg/dl
Peripheral blood findings