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http://ir.fmu.ac.jp/dspace/handle/123456789/355
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タイトル: | A case of peripheral T-cell lymphoma presenting with acute liver failure |
著者: | Konno, Naoki Takahashi, Atsushi Watanabe, Kenya Katsushima, Fumiko Monoe, Kyoko Kanno, Yukiko Saito, Hironobu Abe, Kazumichi Ohira, Hiromasa |
学内所属: | 消化器・リウマチ膠原病内科学講座 |
誌名/書名: | Clinical Journal of Gastroenterology |
巻: | 5 |
号: | 1 |
開始ページ: | 31 |
終了ページ: | 34 |
発行日: | 2012年2月 |
抄録: | 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. |
出版者: | Springer |
本文の言語: | eng |
このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/355 |
本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/355/1/ClinJGastroenterol_5_p31.pdf |
ISSN: | 1865-7257 1865-7265 |
DOI: | 10.1007/s12328-011-0267-0 |
異版(出版者版等): | http://dx.doi.org/10.1007/s12328-011-0267-0 |
権利情報: | © Springer 2011. The final publication is available at link.springer.com |
出現コレクション: | a10 学術雑誌論文等 = Journal Article
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