Yoon S S, Youn H D, Suh C, Bang Y J, Choi S J, Kim B K, Kim N K, Kim E C
Department of Internal Medicine, College of Medicine, Seoul National University, Korea.
J Korean Med Sci. 1987 Dec;2(4):255-8. doi: 10.3346/jkms.1987.2.4.255.
One case of arthritis complicating leukemia is described in which leukemic cells were identified in synovial fluid by light microscopy. Although arthritis is a well-known manifestation of leukemia with an incidence of 13.5%, the pathogenesis often is unclear, and the direct demonstration of leukemic cells in synovial fluid has been very uncommon. A 16 year-old male patient was admitted due to left elbow joint pain and swelling. Synovial fluid examination revealed blast cells and this finding has directed to a final diagnosis of acute lymphoblastic leukemia.
本文描述了一例白血病并发关节炎的病例,通过光学显微镜在滑液中发现了白血病细胞。尽管关节炎是白血病的一种常见表现,发病率为13.5%,但其发病机制通常尚不清楚,在滑液中直接检测到白血病细胞的情况非常罕见。一名16岁男性患者因左肘关节疼痛和肿胀入院。滑液检查发现原始细胞,这一发现最终确诊为急性淋巴细胞白血病。