An Autopsy Case of Histiocytic Medullary Reticulosis Presenting with Marked Hepatosplenomegaly for 13 Years before the Onset

A 32-year-old male was hospitalized with high fever, pancytopenia and hepatosplenomegaly. No atypical cells were found in the peripheral blood. Bone marrow aspiration resulted in dry taps. Superficial lymph node swelling was not observed. He had been treated twice for high fever, hepatosplenomegaly...

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Veröffentlicht in:Japanese Journal of Medicine 1988, Vol.27(2), pp.195-199
Hauptverfasser: NANNO, Tatsuo, ADACHI, Yukihiko, ENOMOTO, Masakazu, NAGAMINE, Yasuroh, SUWA, Masao, SUZUKI, Tsuneyuki, TAKAOKA, Aimei, YAMAMOTO, Toshio
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container_end_page 199
container_issue 2
container_start_page 195
container_title Japanese Journal of Medicine
container_volume 27
creator NANNO, Tatsuo
ADACHI, Yukihiko
ENOMOTO, Masakazu
NAGAMINE, Yasuroh
SUWA, Masao
SUZUKI, Tsuneyuki
TAKAOKA, Aimei
YAMAMOTO, Toshio
description A 32-year-old male was hospitalized with high fever, pancytopenia and hepatosplenomegaly. No atypical cells were found in the peripheral blood. Bone marrow aspiration resulted in dry taps. Superficial lymph node swelling was not observed. He had been treated twice for high fever, hepatosplenomegaly and leukopenia that were very similar to the present illness, 13 and 3 years before the onset and hepatosplenomegaly had been noted by the patient for 13 years. The patient died after a rapid course of 20 days. Histiocytic medullary reticulosis (HMR) was diagnosed at the autopsy, which revealed atypical histiocytic infiltration showing erythrophagocytosis in the liver, spleen, left adrenal, and mesenterial and pulmonary hilar lymph nodes. This patient had shown the same clinical signs and hepatosplenomegaly 13 years before the onset of HMR, which suggest a possible latent stage and acute exacerbation of HMR.
doi_str_mv 10.2169/internalmedicine1962.27.195
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source J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Autopsy
Hepatomegaly - complications
Hepatomegaly - pathology
Histiocytic Sarcoma - complications
Histiocytic Sarcoma - diagnosis
Histiocytic Sarcoma - pathology
Hodgkin's disease
Humans
Male
Malignant histiocytosis
Splenomegaly - complications
Splenomegaly - pathology
title An Autopsy Case of Histiocytic Medullary Reticulosis Presenting with Marked Hepatosplenomegaly for 13 Years before the Onset
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