Case 35-1974

Abstract

Presentation or CaseA 58-year-old man was admitted to the hospital because of weakness.He had enjoyed excellent health until 11 months previously, when fatigue, anorexia and abdominal bloating developed, with loss of 12 kg in weight during the ensuing three months. Four months before entry iron was prescribed because of anemia. The patient did not improve and was referred to this hospital. Examination disclosed marked splenomegaly, without lymphadenopathy. The hematocrit was 26.9 per cent, and the white-cell count 3800. The bilirubin was 0.9 mg, and the protein 4.5 g (the albumin 2.8 g, and the globulin 1.7 g) per . . .