B-淋巴细胞白血病呈现为肝脏内胆固醇症
Daniyal Raza1,2, Maryam Mubashir2, Karan Sachdeva1
1Department of Internal Medicine, LSU Health Shreveport, Shreveport, United States.
European journal of case reports in internal medicine
|December 11, 2023
概括
一位最初怀疑患有急性胆道炎的患者因意外爆发细胞而被诊断为B型淋巴细胞白血病. 这凸显了对黄进行全面评估的必要性,考虑到罕见的血液性恶性瘤.
科学领域:
- 血液学 血液学 血液学
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 急性胆道炎需要及时干预.
- 阻塞性黄需要进行彻底的诊断评估.
- 血液性恶性瘤可以呈现出各种肝脏表现.
研究的目的:
- 为了探索急性胆道炎的诊断挑战.
- 突出全面评估阻塞性黄的重要性.
- 提高人们对模仿肝病的血液性恶性瘤的认识.
主要方法:
- 一个38岁的妇女患有克罗恩结肠炎的病例报告.
- 最初的表现是腹痛,黄和白细胞瘤.
- 意想不到的外周涂抹检查结果导致重新诊断.
主要成果:
- 最初对急性胆道炎的怀疑被B型淋巴细胞白血病诊断所取代.
- 肝脏的白血病透导致了阻塞性黄.
- 类固醇和化疗消除了肝脏异常.
结论:
- 彻底的初步评估对于肝脏参与症状至关重要.
- 外周涂抹对于检测潜在的血液病状至关重要.
- 肝脏白血病透是一种罕见但至关重要的阻塞性黄差异诊断.
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