Adult T-cell leukemia physical examination: Difference between revisions
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===General Appearance=== | ===General Appearance=== | ||
* Adult T-cell leukemia patients often appear [[lethargic]] and [[fatigue|fatigued]] | * Adult T-cell leukemia patients often appear [[lethargic]] and [[fatigue|fatigued]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* Low grade [[fever]] | * Low grade [[fever]] | ||
| Line 17: | Line 17: | ||
===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with adult T-cell leukemia is usually normal. | |||
=== Neck === | |||
* [[Lymphadenopathy]] | * [[Lymphadenopathy]] | ||
===Abdomen=== | ===Lungs=== | ||
* Pulmonary examination of patients with adult T-cell leukemia is usually normal. | |||
=== Heart === | |||
* [[Tachycardia]] | |||
* Abnormal [[heart rhythm]] may be present | |||
=== Abdomen === | |||
* [[Splenomegaly]] | * [[Splenomegaly]] | ||
* [[Hepatomegaly]] | * [[Hepatomegaly]] | ||
=== | ===Back=== | ||
* | * Back examination of patients with adult T-cell leukemia is usually normal. | ||
* | |||
=== Genitourinary === | |||
* Genitourinary examination of patients with adult T-cell leukemia is usually normal. | |||
=== Neuromuscular === | |||
* [[Muscle]] wasting | |||
=== | === Extremities === | ||
* [[Muscle]] wasting | * [[Muscle]] wasting | ||
Revision as of 17:52, 5 November 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
Patients with adult T-cell leukemia usually appear lethargic and fatigued. Physical examination of patients with adult T-cell leukemia is usually remarkable for maculopapular rash, skin ulceration, and splenomegaly.
Physical Examination
The following physical findings may be observed in patients suffering from adult T-cell leukemia:[1][2][3][4]
General Appearance
Vital Signs
- Low grade fever
Skin
- Maculopapular rash
- Skin ulceration
- Leukemia cutis (infiltration of skin by leukemic cells)
HEENT
- HEENT examination of patients with adult T-cell leukemia is usually normal.
Neck
Lungs
- Pulmonary examination of patients with adult T-cell leukemia is usually normal.
Heart
- Tachycardia
- Abnormal heart rhythm may be present
Abdomen
Back
- Back examination of patients with adult T-cell leukemia is usually normal.
Genitourinary
- Genitourinary examination of patients with adult T-cell leukemia is usually normal.
Neuromuscular
- Muscle wasting
Extremities
- Muscle wasting
References
- ↑ Matutes E (2007). "Adult T-cell leukaemia/lymphoma". J Clin Pathol. 60 (12): 1373–7. doi:10.1136/jcp.2007.052456. PMC 2095573. PMID 18042693.
- ↑ Hokama A, Tomoyose T, Yamamoto Y, Watanabe T, Hirata T, Kinjo F, Kato S, Ohshima K, Uezato H, Takasu N, Fujita J (November 2008). "Adult T-cell leukemia/lymphoma presenting multiple lymphomatous polyposis". World J. Gastroenterol. 14 (42): 6584–8. PMC 2773353. PMID 19030219.
- ↑ Taniguchi, Atsuo; Takenaka, Yoshitaka; Noda, Yumiko; Ueno, Yukio; Shichikawa, Kanji; Sato, Kazuto; Miyasaka, Nobuyuki; Nishioka, Kusuki (1988). "Adult t cell leukemia presenting with prolifeerative synovitis". Arthritis & Rheumatism. 31 (8): 1076–1077. doi:10.1002/art.1780310824. ISSN 0004-3591.
- ↑ Hermine, Olivier; Bouscary, Didier; Gessain, Antoine; Turlure, Pascal; Leblond, Veronique; Franck, Nathalie; Buzyn-Veil, Agnes; Rio, Bernard; Macintyre, Elisabeth; Dreyfus, Francois; Bazarbachi, Ali (1995). "Treatment of Adult T-Cell Leukemia-Lymphoma with Zidovudine and Interferon Alfa". New England Journal of Medicine. 332 (26): 1749–1751. doi:10.1056/NEJM199506293322604. ISSN 0028-4793.