難治性腹水と黄痘を呈した全身性肥満細胞症の1剖検例

Abstract

A case of systemic mastocytosis is reported. This patient was a 57-year-old male who complained of abdominal fullness and fever. He had been suffering from flushing and subsequent severe watery diarrhea. He had pigmentation on his trunk, systemic lymph node enlargement, and massive ascites. Terminally he suffered from jaundice. Both lymph node and bone marrow biopsy revealed infiltration of mast cells by toluidine blue stain. Histamine levels in the urine and blood were elevated. He died of hepato-renal failure four years after his first medical examination.