一個來自NEJM的個案，一位67歲曾接受過肺臟移植的女士出現運動性呼吸困難（exertional dyspnoea）。血液檢查顯示貧血，血色素只有6.9g/dL，骨髓檢查顯示以下的異常細胞，診斷是甚麼？
A 67-year-old woman presented with a 6-week history of progressive exertional dyspnea. Her medical history was notable for lung transplantation that had been performed 8 years earlier. Laboratory studies showed normocytic anemia, with a hemoglobin level of 6.9 g per deciliter. White-cell and platelet counts were normal. The reticulocyte index was 0%. Bone marrow aspiration was performed and showed giant proerythroblasts with basophilic and vacuolated cytoplasm, uncondensed chromatin, and large, intranuclear, purple-colored inclusions. What is the diagnosis? http://nej.md/206y4a1
exertional dyspnea 在 Middle-aged Man With Exertional Dyspnea and Neck Fullness 的推薦與評價
A man in his mid-50s was referred with 2 years of insidious exertional dyspnea and neck fullness. Abdominal examination revealed an enlarged ... ... <看更多>