多毛细胞白血病(HCL)是一种少见的特殊类型白血病,现报告一例。 [病历摘要]患者黄某,男性,72岁。因全身乏力、纳差、多汗,脸色进行性苍白九年,泛发性皮疹伴奇痒三年,症状加重一个月。于1986年3月17日入院。患者于78年初始出现疲乏、多汗、苍白,在某医院就诊,发现脾脏及全身淋巴结肿大。骨髓液检查,拟诊白血病,经化疗症状缓解,但未坚持治疗,近一月来上述症状复发并加重而收入本院。检查:体温37℃,脉搏82次/分,呼吸20次/分,血压18.7/10.7 K Pa(140/80m m Hg)。中度贫血貌,全身皮肤可见散在性小丘疹及浸润性斑块,无出血点。全身淋巴结未见肿大,胸骨无压痛。桶状胸,两肺叩诊音过清,少量干罗音。肝肋下3cm, Hairy cell leukemia (HCL) is a rare special type of leukemia, a report is now reported. [Medical records] Patient Hwang, male, 72 years old. Due to malaise, anorexia, sweating, his face pale for nine years, generalized rash with itching three years, the symptoms increased for one month. March 17, 1986 admission. Patients in the early 78 years of fatigue, sweating, pale, in a hospital, found that the spleen and systemic lymphadenopathy. Bone marrow examination, diagnosis of leukemia, chemotherapy remission, but did not insist on treatment, the recurrence of the above symptoms and aggravate the recent January income in this hospital. Check: body temperature 37 ℃, pulse 82 beats / min, breathing 20 beats / min, blood pressure 18.7 / 10.7 K Pa (140 / 80m Hg). Moderate anemia appearance, the systemic skin showed scattered papules and infiltrative plaques, no bleeding. No enlarged lymph nodes, sternal tenderness. Barrel chest, lungs percussion sound clear, a small amount of dry rales. Liver ribs 3cm,