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ID 18114
Eprint ID
18114
FullText URL
Thumnail 80_541.pdf 468 KB
Title Alternative
Clinical and Statistical Studies on the Changes of the Clinical Pictures of Leukemia Part 1. On the Changes of the Clinical Pictures of Acute Leukemia in the Initial Stage
Author
Ishizaki, Masanobu
Abstract
On 237 cases of acute leukemia admitted to our clinic from 1953 to 1965, the main symptoms and hematological findings in the initial stage were statistically evaluated. The observation time was devided into 3 periods; I (1953~1957), II (1958~1961) and III (1962~1965). 1) Peripheral blood picture: Severe cases with hemoglobin below 40% (Sahli) were 57.0% during the Ist period and were 28.2% during the IIIrd period. On the other hand mild cases with hemoglobin above 70% were 9.2% during the Ist period and increased to 17.2% during the IIIrd period. Similar tendency was observed on red blood cell count (R. B. C.). Severe cases with R. B. C. below 2×10(6) were found in 66.2% during the Ist period and decreased to 31.0% during the IIIrd period. Mild cases with white blood cell count below 1×10(4) were found in 33.9% during the Ist period and increased to 40.7% in the IIIrd period. Mild cases with leukemic blasts below 10% showed an increase from 22.6% in the Ist period up to 34.9% in the IIIrd period. Mild cases with thrombocytes above 1×10(5) increased from 13.1% in the Ist period up to 17.6% in the IIIrd period. 2) Myelogram: Mild cases with leukemic blasts below 20% increased from 33.9% in the Ist period up to 38.0% in the IIIrd period. Severe cases with erythroblastic cells below 5% gradually decreased from 75.4% in the Ist period up to 64.9% in the IIIrd period. Mild cases in which we maintained erythroblastic cells above 15% increased from 8.8% inthe Ist period up to 22.1%in the IIIrd period. 3) Clinical symptoms: Mild cases without hemorrhagic diathesis increased from 29.2% in the Ist period up to 42.0% in the IIIrd period. While severe cases with remarkable hemorrhagic diathesis gradually decreased from 34.6% in the Ist period up to 19.6% in the IIIrd period. Cases with hepatomegaly of more than 2 finger breath showed a slight decrease from 27.4% in the Ist period up to 20.5% in the IIIrd period. No conclusive tendency was observed on splenomegaly. Cases without palpable lymphnodes were increased from 35.0% in the Ist period to 41.7% in the IIIrd period, while cases with remarkable lymphadenopathy decreased from 18.3% in the Ist period to 13.1% in the IIIrd period. Cases with high grade fever decreased from 29.0% in the Ist period up to 13.3% in the IIIrd period. From these results the author confirmed that relatively mild cases of acute leukemia on admission have gradually increased recently. In addition the tendency of decrease of monocytic leukemia and increase of acute lymphocytic leukemia was observed.
Published Date
1968-06-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume80
Issue
issue5-6
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
541
End Page
548
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/80/5-6/80_5-6_541/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma