A Case of Recurrent Subacute Necrotizing Lymphadenitis with Pancytopenia / 대한혈액학회지
Korean Journal of Hematology
; : 318-323, 1997.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-720934
Responsible library:
WPRO
ABSTRACT
We report a case of recurrent subacute necrotizing lymphadenitis with pancytopenia in 21-years-old-woman. She was admitted to our hospital 4-years interval with fever and abdominal pain. Laboratory findings of the last admission showed pancytopenia, such as WBC 700/microliter, hemoglobin 6.0mmol/L (9.7g/dL), hematocrit 28.8%, and platelet 54,000/microliter. Abdominal CT showed hepatosplenomegaly, enlarged conglomerated lymph nodes in splenic hilum, lesser sac, celiac root, and paraaortic areas. Bone marrow biopsy showed hypocellular marrow (20%) with increased number of megakaryocyte, myeloid hyperplasia, and hemophagocytic histiocytes suggesting infectious process. We performed exploratory laparotomy, and pathologic finding revealed subacute necrotizing lymphadenitis-Kikuchi disease-. She was recovered on 26th hospital day with conservative treatment.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pancytopenia
/
Peritoneal Cavity
/
Biopsy
/
Blood Platelets
/
Bone Marrow
/
Megakaryocytes
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Tomography, X-Ray Computed
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Abdominal Pain
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Histiocytic Necrotizing Lymphadenitis
/
Fever
Language:
Korean
Journal:
Korean Journal of Hematology
Year:
1997
Document type:
Article