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December 11, 1909


JAMA. 1909;LIII(24):2006. doi:10.1001/jama.1909.92550240048002e

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This case is an interesting one on account of the enormous numbers of leucocytes which were present. The ratio between the white and the red cells, the high percentage of myelocytes, and the excessive number of white cells makes this case one worthy of reporting. Several times during the course of the disease the white cells were 500,000 and over in excess of the red cells.

Patient.  —S. B., aged 30, an American woman, white, housewife; family and personal history negative; had had the usual diseases of childhood; mother of two children. She complained of becoming weak, fatigue on the slightest exertion, marked dyspnea, and slight hemorrhages from the mouth. Later the patient was able to feel the enlarged spleen.

Examination.  —Development good; nutrition fair; considerable anemia; puffiness of eyelids; slight edema of ankles; glands not generally enlarged; lungs and heart negative but for a hemic murmur.Left side of the abdomen

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