title: A case of chronic myelomonocytic leukemia who developed pericardial effusion during stably controlled leukocytosis.
abstract: We report a rare case of chronic myelomonocytic leukemia (CMML) with pericardial effusion. After receving the diagnosis of CMML, she had been successfully treated with hydroxycarbamide (HU). However, she was admitted to our hospital due to pericardial effusion. The majority of the cells in the pericardial fluid were monocytes. We made the diagnosis of pericardial involvement with CMML cells and intravenously administered etoposide (100 mg/body daily for 5 days). Although CMML cells disappeared from the peripheral blood, the pericardial effusion still persisted. This case indicates that pericardial effusion is a possible and life-threatening complication in CMML patients despite stably controlled leukocytes.
authors.affiliation: Department of Hematology, Kinki University School of Medicine, Japan. moriyasu@med.kindai.ac.jp
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Morita
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ohyama
authors.forename: Shinya
authors.initials: S
authors.lastname: Rai
authors.forename: Masaya
authors.initials: M
authors.lastname: Kawauchi
authors.forename: Terufumi
authors.initials: T
authors.lastname: Yamaguchi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Shimada
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Tatsumi
authors.forename: Takashi
authors.initials: T
authors.lastname: Ashida
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Maeda
authors.forename: Itaru
authors.initials: I
authors.lastname: Matsumura
mesh_terms: D005260:Female; D006801:Humans; D015477:Leukemia, Myelomonocytic, Chronic / Q000150:complications / Q000175:diagnosis*; D007964:Leukocytosis / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000209:etiology