[Hodgkin's disease disclosed by myelofibrosis of primary appearance. Apropos of 2 cases].
Two male patients, aged 36 and 73 years respectively, gradually developed febrile pancytopenia with profound alteration of their general condition and major inflammatory repercussions. No superficial or deep lymph node enlargement was found initially. Patient n degree 2 had an enlarged spleen. In both cases histological examination of the bone marrow showed an extensive and apparently nonspecific myelofibrosis. The subsequent development of superficial lymphadenopathy provided a firm diagnosis of Hodgkin's disease with mixed cellularity. These two cases belong to the category of exceptional massive medullary forms of Hodgkin's disease described by Duhamel et al. in 1979.
Service des maladies du sang, CHU, Lille.
P
P
Fenaux
J P
JP
Jouet
C
C
Delerive
M
M
Simon
J P
JP
Pollet
P
P
Savinel
M C
MC
Fabri
I
I
Ciesla
B
B
Gosselin
F
F
Bauters
D000328:Adult; D000368:Aged; D005260:Female; D006689:Hodgkin Disease / Q000150:complications*; D006801:Humans; D008297:Male; D055728:Primary Myelofibrosis / Q000175:diagnosis / Q000209:etiology*
Maladie de Hodgkin révélée par une myélofibrose en apparence primitive. A propos de deux observations.