1969 年 10 巻 5 号 p. 637-642
A 81-year-old man was admitted to our hospital with complaints of dyspnea and pruritis on July 3, 1966. Chest x-ray film showed right pleural effusion.
The most outstanding findings on physical examination were generalized superficial lymphadenopathy and exfoliative dermatitis. Laboratory data revealed elevated leukocyte count (16700 per cu. mm) with 65 per cent of mature lymphocytes and 25 per cent of atypical lymphoid cells.
The clinical diagnosis was chronic lymphocytic leukemia. Lymphnode biopsy, however, revealed Hodgkin's disease (paragranuloma) which was confirmed by autopsy.
The literatures of 9 similar cases were reviewed.