A 78-year-old retired mechanic is admitted with increasing left the hypochondrial pain of a stabbing character over the previous 12 h. He had not felt well for 3 months, losing 5 kg in weight and recently noticing night sweats. Clinical examination revealed hepatomegaly of 5 cm and splenomegaly of 15 cm. There was no lymphadenopathy.
The FBC revealed: Hb 10.1 g/dL (normal 13.5–18 g/dL) WCC 227 × 109/L (normal 4–11 × 109/L) with prominent eosinophilia and basophilia Platelets 741 × 109/L (normal 150–400 × 109/L) Urea and electrolytes and LFTs were normal except for a uric acid level of 490 μmol/L (normal 110–420 μmol/L). What is the likely differential diagnosis? *This case is from Docplexus editorial team for educative purpose only Source: Core Clinical Cases in Medical and Surgical Specialties Stay connected, the answer will be posted in next 48 hrs!
