粟粒結核症における血液学的異常について

概要

論文の詳細を見る
Recently we experienced four cases of miliary tuberculosis of which three were old aged. Though various hematological abnormalities were seen in all cases, anemia, shift to the left of neutrophil leucocytes, and absolute lymphocytopenia were common findings in peripheral blood.<BR>Moreover, two of them were complicated with pancytopenia which were suspected to be preceded by primary aplastic anemia from past histories.<BR>Pancytopenia, however, might possibly develop secondarily to miliary tuberculosis. Among several theories on mechanisms of secondary pancytopenia, allergic theory was speculated as to our two cases.<BR>The relationship between pancytopenia and so-called “non-reactive type” of miliary tubercles or so-called “cryptic type” in clinical manifestations remaind to be clarified. At least, in our two cases complicated with pancytopenia, typical reactive tubercles were seen with few exceptions, and they were clinically not cryptic.
日本結核病学会の論文