College of American Pathologists
CAP Committees & Leadership CAP Calendar of Events Estore CAP Media Center CAP Foundation
 
About CAP    Career Center    Contact Us      
Search: Search
  [Advanced Search]  
 
CAP Home CAP Advocacy CAP Reference Resources and Publications CAP Education Programs CAP Accreditation and Laboratory Improvement CAP Members
CAP Home > CAP Foundation > Case of the Month > Case of the Month - January 2014

2014 — January Case of the Month

Posted January 28, 2014

CLINICAL SUMMARY: Spleen  

CAP Foundation Online Case of the Month

Click Slide Image to View Case with DigitalScope

A 24-year-old man with a history of Epstein-Barr virus infection presented with a two- month history of persistent low-grade fever, weight loss, and hepatosplenomegaly. He had anemia and pancytopenia. HIV testing was negative. While undergoing a CT scan the patient suddenly decompensated having a markedly distended abdomen and hypotension. Exploratory laparotomy revealed a ruptured spleen. The 2680 g splenectomy specimen had a homogeneous red-brown cut surface with no definitive masses.

The master list with the correct answer

  • Erdheim Chester disease
  • Langerhans cell histiocytosis
  • Rosai Dorfman disease
  • T-cell lymphoma
  • Viral associated hemophagocytic syndrome

Access Case Critique to view:

  • Appropriate diagnosis
  • Critique
  • References


Your input is valued—please submit your feedback so that we may continue to optimize this program.
 
 © 2014 College of American Pathologists. All rights reserved. | Terms and Conditions | CAP ConnectFollow Us on FacebookFollow Us on LinkedInFollow Us on TwitterFollow Us on YouTubeFollow Us on FlickrSubscribe to a CAP RSS Feed