title: Atypical CML with massive splenic infarct: an extremely rare presentation.
abstract: We report a case of a 47-year-old man who presented with hepatosplenomegaly, anaemia and massive splenic infarct. A series of investigations led us to a diagnosis of atypical chronic myeloid leucaemia, a rare variety of a mixed myelodysplastic/myeloproliferative neoplasm. This is the first case of atypical CML presenting with massive splenic infarction.
authors.affiliation: Department of Accident & Emergency, Lady Hardinge Medical College, Hooghly, West Bengal, India.
authors.forename: Dhrubajyoti
authors.initials: D
authors.lastname: Bandyopadhyay
authors.affiliation: IPGMER, Kolkata, West Bengal, India.
authors.forename: Satyaki
authors.initials: S
authors.lastname: Manna
authors.affiliation: IPGMER, Kolkata, West Bengal, India.
authors.forename: Adrija
authors.initials: A
authors.lastname: Hajra
authors.affiliation: IPGMER, Kolkata, West Bengal, India.
authors.forename: Tanima Das
authors.initials: TD
authors.lastname: Bhattacharya
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000740:Anemia / Q000209:etiology*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D017809:Fatal Outcome; D006801:Humans; D006918:Hydroxyurea / Q000008:administration & dosage*; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009294:Narcotics / Q000008:administration & dosage; D035583:Rare Diseases; D018805:Sepsis / Q000150:complications*; D012720:Severity of Illness Index; D013159:Splenic Infarction / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013163:Splenomegaly / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D000970:Antineoplastic Agents; D009294:Narcotics; D006918:Hydroxyurea