The Myelodysplastic Syndrome and Bronchiolitis Obliterans
- Michael F. Tenholder, MD;
- Gregory L. Becker, MD; and
- Manuel I. Cervoni, MD
-
Veterans Affairs Medical Center
Augusta, GA 30910 -
Walter Reed Army Medical Center
Washington, DC 20307-5001
Excerpt
To the Editor: We have identified bronchiolitis obliterans with organizing pneumonia as a cause of refractory hypoxemia, infiltrates, and relentless fever in a patient with the myelodysplastic syndrome. A 58-year-old white man with a 40-pack-year smoking history presented with a 6-week history of fever, productive cough, dyspnea, and a weight loss of 4 kg. He also had pancytopenia. The total leukocyte count was 2700/mm3; the hemoglobin, 10.0 g/dL; and the platelet count, 73 x 103/ mm3. A bone marrow biopsy specimen showed refractory anemia with excess blasts—a myelodysplastic syndrome. Physical examination showed the following: blood pressure, 125/65 mm Hg; pulse
This 100-word excerpt has been provided in the absence of an abstract.
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