Contributed by Peter Christakos, MD and Lydia Contis, MD Published on line in March 1998
Contributed by Peter Christakos, MD and Lydia Contis, MD
Published on line in March 1998
PATIENT HISTORY:
The patient is a 76 year old white male previously diagnosed with chronic lymphocytic leukemia (CLL) in 1994, initially treated with Fludarabine, and subsequently with ARA-C. Past medical history also includes coronary artery disease and emphysema. He now presents to an outside hospital with increasing dyspnea, a marked leukocytosis (>360,000) and splenomegaly. He was transferred to UPMC for further management. A diagnostic bone marrow biopsy and aspirate were performed.
