Lee K S, Kim W S, Yang S O, Yu E S
Department of Diagnostic Radiology, Capital Armed Forces General Hospital, Korea.
Clin Radiol. 1990 Mar;41(3):201-3. doi: 10.1016/s0009-9260(05)80969-9.
Five cases of histiocytic medullary reticulosis (HMR) are presented and the computed tomographic (CT) findings described. All patients were young adults in their early twenties with fever, malaise and weight loss as their chief complaints. Survival was less than 5 months in all cases. The CT findings were hepatosplenomegaly (5), abdominal lymphadenopathy (5) and bilateral renal enlargement (2). Patchy low attenuation areas in the liver (2), wedge shaped splenic infarcts (2) and focal low attenuation areas in the kidneys (1) were also noted. Ascites (3) and pleural effusion (3) were associated findings.
本文报告了5例组织细胞性髓性网状细胞增生症（HMR），并描述了其计算机断层扫描（CT）表现。所有患者均为20岁出头的年轻成年人，主要症状为发热、不适和体重减轻。所有病例的生存期均少于5个月。CT表现为肝脾肿大（5例）、腹部淋巴结肿大（5例）和双侧肾脏增大（2例）。还注意到肝脏内的斑片状低密度区（2例）、楔形脾梗死（2例）和肾脏内的局灶性低密度区（1例）。腹水（3例）和胸腔积液（3例）为相关表现。
