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Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/355

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Title: A case of peripheral T-cell lymphoma presenting with acute liver failure
Authors: Konno, Naoki
Takahashi, Atsushi
Watanabe, Kenya
Katsushima, Fumiko
Monoe, Kyoko
Kanno, Yukiko
Saito, Hironobu
Abe, Kazumichi
Ohira, Hiromasa
Affiliation: 消化器・リウマチ膠原病内科学講座
Source title: Clinical Journal of Gastroenterology
Volume: 5
Issue: 1
Start page: 31
End page: 34
Issue Date: Feb-2012
Abstract: A 68-year-old woman was evaluated by her primary physician for swelling and pain in the right neck. Treatment with antibiotics failed to achieve any improvement. Two weeks later, she was hospitalized to the gastroenterology service because of liver dysfunction and pneumonia. Disseminated intravascular coagulation (DIC) was diagnosed, and protease inhibitor and steroid pulse therapy were started. She was transferred to our department for further evaluation the following day. Bone marrow examination revealed hemophagocytosis and infiltration of CD3-positive cells. Multiple masses were identified in the liver. Her prothrombin time was 35.7% of the standard value 17 days from disease onset, despite improvement of DIC. She was diagnosed with acute liver failure based on the Japanese diagnostic criteria. Her general condition worsened quickly, which prevented use of chemotherapy, and she died after a total course of 19 days. Autopsy revealed atypical lymphocytes in the liver. The diagnosis was peripheral T-cell lymphoma.
Publisher: Springer
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/355
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/355/1/ClinJGastroenterol_5_p31.pdf
ISSN: 1865-7257
DOI: 10.1007/s12328-011-0267-0
Other version: http://dx.doi.org/10.1007/s12328-011-0267-0
Rights: © Springer 2011. The final publication is available at link.springer.com
Appears in Collections:a10 学術雑誌論文等 = Journal Article

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ClinJGastroenterol_5_p31.pdf1.25 MBAdobe PDFDownload

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