一位 43 岁女性，乏力、全血细胞减少和纵隔淋巴结肿大。

A 43-Year-Old Woman With Fatigue, Pancytopenia, and Mediastinal Adenopathy.

机构信息

Department of Pulmonary and Critical Care Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH.

出版信息

Chest. 2022 May;161(5):e293-e297. doi: 10.1016/j.chest.2021.12.653.

DOI:10.1016/j.chest.2021.12.653

PMID:35526899

Abstract

A 43-year-old woman without significant medical history was admitted with fatigue for 2 months. Before her current presentation, she had experienced several weeks of heavy menstrual bleeding and easy bruising. She denied night sweats, weight loss, chills, sore throat, neck swelling, rash, joint pain, cough, fever, or shortness of breath. The patient admitted a 20-year half-pack per day smoking habit that she had not been able to quit. She denied significant occupational or environmental exposures, a family history of malignancy, or current use of medications.

摘要

一位 43 岁的女性，无重大病史，因疲劳 2 个月入院。在目前的表现之前，她经历了数周的大量月经出血和容易瘀伤。她否认盗汗、体重减轻、寒战、喉咙痛、颈部肿胀、皮疹、关节痛、咳嗽、发烧或呼吸急促。患者承认有 20 年的半包/天吸烟习惯，一直未能戒烟。她否认有重大职业或环境暴露、恶性肿瘤家族史或目前正在使用药物。