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組織球性(조직구성) 骨髓性(골수성) 網狀症(망상증) -1例(예) 報告(보고)-

Histioeytic Medullary Reticulosis -A case report-

대한병리학회지 1977년 11권 2호 p.163 ~ 172
정인선, 염범우, 정성화, 정지용,
소속 상세정보
정인선 (  ) - 고려대학교 의과대학 임상병리과
염범우 (  ) - 고려대학교 의과대학 임상병리과
정성화 (  ) - 고려대학교 의과대학 임상병리과
정지용 (  ) - 고려대학교 의과대학 임상병리과

Abstract


A 30 year old korean male was admitted to Korea University Hospital because of high
fever and diarrhea of one week duration. Physical examination discloses left axillary
lymphadenopathy and tepatomegaly. The patient was treated for typhoid fever with
chloramphenicol and antipyretics and discharged with some improvement of symptoms
after 4 days hospital stay.
He was readmitted after 10 days with general weakness, weight loss, dyspnea,
epistaxis and abdominal distension. Peripheral blood findings included pancytopenia with
2% atypical higtiocytes.
On the next day, bone marrow aspiration and left axillary lymph node biopsy were
done. However, his conditions deteriorated rapid1y and the patient expired on the third
day of the second admission. Autopsy was not performed.
The bone marrow smears revealed 14% atypical histiocytes, most of which engaged in
phagocytosis of erythrocytes, granulocytes, and platelets. The lymph node disclosed
preservation of nodal architectures with infiltrations of atypical histiocytes and their
precursors in the subcapsular and medullary sinuses. Phagocytosis of erythrocytes and
granulocgtes by more differentiated histiocytes was noted.

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