TY - JOUR
T1 - Weight loss, skin rash, and cough following bone marrow transplantation for chronic myelogenous leukemia
AU - Witherspoon, R. P.
AU - McGlave, P.
AU - Campbell, J. B.
AU - Sigley, T.
AU - Rolston, K. V.I.
PY - 1998
Y1 - 1998
N2 - JW, a 41-year-old apple orchard worker, presented to his local physician with cough, fever, and sputum prroduction of 2 days' duration. Six hours earlier JW had a shaking chill and began to notice right-sided chest pain when he coughed. He has been feeling progessively weak. When questioned, JW denied hemoptysis but reported that for the last month he has had a decreased appetite and has lost 8 pounds, approximately 6% of his body weight. The patient has been able to work in the orchard every day. Remarkable in JW's history is that, on a routine employment physical examination 2 years ago, he was diagnosed with chronic myelogenous leukemia. He was asymptomatic at the time. Fifteen months ago, he had a bone marrow transplant from a human lymphocyte antigen-matched older brother. The physical examination was remarkable for egophony and rales at the right lung base, a temperature of 39.0°C, and a respiratory rate of 22. JW had a dry mouth, and skin examination showed a dry scaly rash over his arms. The remainder of the examination was within normal limits. What is the best course of action for diagnosis and treatment for this patient?.
AB - JW, a 41-year-old apple orchard worker, presented to his local physician with cough, fever, and sputum prroduction of 2 days' duration. Six hours earlier JW had a shaking chill and began to notice right-sided chest pain when he coughed. He has been feeling progessively weak. When questioned, JW denied hemoptysis but reported that for the last month he has had a decreased appetite and has lost 8 pounds, approximately 6% of his body weight. The patient has been able to work in the orchard every day. Remarkable in JW's history is that, on a routine employment physical examination 2 years ago, he was diagnosed with chronic myelogenous leukemia. He was asymptomatic at the time. Fifteen months ago, he had a bone marrow transplant from a human lymphocyte antigen-matched older brother. The physical examination was remarkable for egophony and rales at the right lung base, a temperature of 39.0°C, and a respiratory rate of 22. JW had a dry mouth, and skin examination showed a dry scaly rash over his arms. The remainder of the examination was within normal limits. What is the best course of action for diagnosis and treatment for this patient?.
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U2 - 10.1046/j.1523-5394.1998.006004202.x
DO - 10.1046/j.1523-5394.1998.006004202.x
M3 - Article
C2 - 9767331
AN - SCOPUS:0031820763
SN - 1065-4704
VL - 6
SP - 202
EP - 205
JO - Cancer Practice
JF - Cancer Practice
IS - 4
ER -