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Can I read Paravertebral Extramedullary Haemopoiesis in a Patient with Pachydermoperiostosis on EtoBox?
Paravertebral Extramedullary Haemopoiesis in a Patient with Pachydermoperiostosis by João T. D. Souto Filho; Rodrigo A. de Morais; Helena A. A. Ribeiro; João Marcos M. C. Ribeiro; Wellington D. S. Ferreira Júnior; Luiz C. S. Figueiredo is a Medicine article available to read on EtoBox.
What is Paravertebral Extramedullary Haemopoiesis in a Patient with Pachydermoperiostosis about?
## Paravertebral extramedullary haemopoiesis in a patient with pachydermoperiostosis A 43-year-old white man presented with a history of lower back pain and arthralgia affecting the hands, wrists, knees, ankles and feet. Clinical examination showed pachydermia with coarsening of facial features (top left), palmoplantar hyperhidrosis, digital clubbing, watch-glass nails (bottom left) and a palpable spleen 3 cm below the left costal margin. Laboratory tests showed a high level of C-reactive protein and polyclonal hypergammaglobulinaemia. His blood count and liver, kidney and thyroid function tests were normal, as were rheumatological markers and haemoglobin electrophoresis. Testing for JAK2 V617F was negative. Magnetic resonance imaging revealed a large mass (21.5 9 11.7 9 7.7 cm) with a heterogeneous signal, located in the pre-sacral region, pushing the rectum and bladder anteriorly and extending to the paravertebral area and the epidural space through vertebral foramina (top right). There were paravertebral nodules with similar characteristics in relation to the thoracic and lumbar spine; the spleen measured 14 cm. Biopsy of the mass showed erythroid and myeloid cells and megakaryo
Who reads Paravertebral Extramedullary Haemopoiesis in a Patient with Pachydermoperiostosis?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- João T. D. Souto Filho; Rodrigo A. de Morais; Helena A. A. Ribeiro; João Marcos M. C. Ribeiro; Wellington D. S. Ferreira Júnior; Luiz C. S. Figueiredo
- Publisher
- John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 0007-1048)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)