51-year-old woman with diffuse joint pain, especially in the knees. For further clarification if a significant anemia and leukopenia and moderate thrombocytopenia; sonographically also a slight hepatomegaly and marked splenomegaly were noticed. Accompanying was an incomplete B-symptoms with weight loss of 12 kg in a few months, and recurrent fevers. findings on admission: Until the pelvis reaching spleen , skin pallor, otherwise inconspicuous internal medicine and neurological findings.
laboratory findings: leukocyte 1.800/?l, Hb 7, lg / dl, platelets 107.000/?l. Slightly elevated LDH, AP, gamma-GT, in the protein electrophoresis hypogammaglobulinemia (6.7%). What do you think?
