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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:277-284 January 23, 1997 Number 4
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Case 3-1997— A 39-Year-Old Man with Diarrhea and Abdominal Pain after Chemotherapy for Acute Leukemia
Scott J. Thaler, and Carolyn C. Compton

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Presentation of Case

A 39-year-old man was admitted to the hospital because of acute leukemia.

The patient had been well until four weeks earlier, when he began to have progressive malaise, fever, and lymphadenopathy. Epistaxis occurred and required cauterization. Two weeks before admission, the fever resolved, but the lymphadenopathy increased; his gums became painful and bled intermittently. Two days before admission, he lost central vision in the right eye. Hematologic tests were performed (Table 1). He was referred to this hospital.

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Table 1. Hematologic Laboratory Values.

 
The patient was a computer specialist. There was no history of the use of tobacco, alcohol, or . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Scott J. Thaler's Diagnoses

Pathological Discussion

Anatomical Diagnosis

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