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THROMBOTIC THROMBOCYTOPENIC PURPURA DIAGNOSED BY RANDOM LYMPH NODE BIOPSY
DENNIS A. J. MOREY, M.D.;
JAMES B. WHITE, M.D.;
WILLIAM M. DAILY, M.D.
AMA Arch Intern Med. 1956;98(6):821-823.
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A CASE OF thrombotic thrombocytopenic purpura is presented in which the diagnosis was established histologically premortem by random lymph node biopsy and sternal marrow biopsy.
Report of Case
A 33-year-old Negro man, a common laborer, was admitted to the Orthopedic Service of the McKinney Veterans Administration Hospital on Oct. 26, 1955, complaining of back pain associated with progressive stiffness over a three-year period. Upon admission he appeared to be healthy except for marked limitation of movement of the entire vertebral column and limitation of expansion of the thoracic cage to I/4 in. (0.6 cm.). X-rays confirmed a diagnosis of extensive rheumatoid spondylitis. Upon admission his hemoglobin was 13.5 gm. per 100 cc.; hematocrit 41%; WBC 5150, with 53% neutrophiles, 40% lymphocytes, 6% monocytes, and 1% eosinophiles. The urinalysis revealed normal findings except for 1+ sugar. Serologic tests for syphilis were negative. The fasting blood sugar was 99 mg. per 100
. . . [Full Text PDF of this Article]
Author Affiliations
McKinney, Texas
Footnotes
Submitted for publication May 21, 1956.
Staff Physician, Department of Internal Medicine (Dr. Morey), Resident in Pathology, Department of Pathology (Dr. White), and Chief, Medical Service, Department of Internal Medicine (Dr. Daily), VA Hospital, McKinney, Texas, and the Southwestern Medical School of the University of Texas, Dallas, Texas.
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