Yamauchi K
Department of Internal Medicine, Tokai University School of Medicine, Tokyo, Japan.
Acta Haematol. 1993;89(1):43-5. doi: 10.1159/000204482.
We report herein a patient with Klinefelter's syndrome associated with refractory anemia with excess of blasts in transformation, a subtype of myelodysplastic syndrome (MDS). The MDS developed with karyotypic abnormality involving t(4;7)(q21;q11), and was characteristic of marked thrombocytosis and marrow infiltration by many atypical megakaryocytes. The patient also had diabetes mellitus and a disturbed immune system. To our knowledge, this is the fifth reported case of MDS in patients with Klinefelter's syndrome in the literature.
我们在此报告一名患有克兰费尔特综合征的患者,该患者伴有转化型难治性贫血伴原始细胞增多,这是骨髓增生异常综合征(MDS)的一种亚型。MDS伴有涉及t(4;7)(q21;q11)的核型异常,其特征为显著的血小板增多以及许多非典型巨核细胞的骨髓浸润。该患者还患有糖尿病和免疫系统紊乱。据我们所知,这是文献中报道的第五例克兰费尔特综合征患者并发MDS的病例。