Sattar M A, Cawley M I
Ann Rheum Dis. 1982 Jun;41(3):289-91. doi: 10.1136/ard.41.3.289.
We report the case of a 65-year-old patient with a 15-year history of intermittent asymmetrical oligoarthritis, who subsequently developed splenomegaly, lymphadenopathy, and episodic leucopenia and thrombocytopaenia. Investigations revealed hairy cell leukaemia, and 'hairy cells' were detected in the synovial fluid. No other cause for this arthritis was found, and we consider the blood dyscrasia to be the likely cause. This case demonstrates a hitherto unreported association between arthritis and hairy cell leukaemia.
我们报告了一例65岁患者,有15年间歇性不对称少关节炎病史,随后出现脾肿大、淋巴结病以及间歇性白细胞减少和血小板减少。检查发现为毛细胞白血病,且在滑液中检测到“毛细胞”。未发现该关节炎的其他病因,我们认为血液恶病质可能是病因。该病例证明了关节炎与毛细胞白血病之间迄今未报道的关联。