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Previous Volume 329:417-423 August 5, 1993 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 49-year-old man was admitted to the hospital because of myelofibrosis with myeloid metaplasia and painful osteolytic lesions of the right femur.

He had had essential thrombocythemia for 10 years that evolved into myelofibrosis with myeloid metaplasia. The hematologic findings throughout the patient's course are presented in Table 1. Hydroxyurea was administered, with a moderate decrease in the platelet count. Three years before entry massive splenomegaly was detected.

View this table: [in this window] [in a new window]   Table 1. Hematologic Values.

 
Eleven months before admission minor trauma to the right knee caused abrasions and a hematoma; a septic bursitis soon developed, and incision with drainage was performed. Two months before . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Thomas R. Spitzer's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

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