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A correction has been published: N Engl J Med 1998;338(2):139.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:1065-1074 October 9, 1997 Number 15
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Case 31-1997— A 67-Year-Old Renal-Transplant-Recipient with Anemia, Leukopenia, and Pulmonary Lesions
Richard M. Stone, Eugene J. Mark, and Judith A. Ferry

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Presentation of Case

A 67-year-old man was admitted to the hospital because of fever and dyspnea.

The patient had a long history of insulin-dependent diabetes mellitus, hypertension, chronic renal failure, and coronary artery disease, culminating in the transplantation of a cadaveric kidney five months before admission. Microscopical examination of the excised kidney showed end-stage disease consistent with diabetic nephropathy. The hematocrit was 30.2 percent, the white-cell count was 17,900 per cubic millimeter, the platelet count was 203,000 per cubic millimeter, and the mean corpuscular volume was 90 µm3. The vitamin B12 level was at the low end of the normal range, and . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Richard M. Stone's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References




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