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First admission. A 73-year-old man was admitted to the hospital because of worsening right upper facial pain and decreasing visual acuity in the right eye.
There was a history of Hodgkin's disease localized to the right groin 27 years earlier, which was treated with excisional biopsy and radiation treatment, without a recurrence. More recently, the patient required treatment for primary hypothyroidism, insulin-dependent diabetes mellitus, hypertension, chronic atrial fibrillation, and chronic obstructive pulmonary disease; he had a long history of cigarette smoking until three years before entry. Six years before admission chronic lymphocytic leukemia (CLL), stage 0, was diagnosed.
One month
Differential Diagnosis
Clinical Diagnosis
Dr. Peter A.D. Rubin's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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