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Biomedical subjects

A Pope

Publications and source records attributed to A Pope.

39 records · Page 3Linked to original sources

Leukocyte larceny: spurious hypoxemia confirmed with pulse oximetry.

Leukemic patients with extremely high white blood counts may exhibit the phenomenon of leukocyte larceny, in which white blood cells metabolize plasma oxygen in arterial blood gas samples (ABG) producing a spuriously low oxygen tension. We report the case of a leukemic patient with a white blood count in excess of 500,000 in whom multiple ABGs documented hypoxemia out of proportion to his clinical picture. Pulse oximetry was used to confirm higher hemoglobin oxygen saturation to establish the leukocyte larceny.

Adult↗

Hairy cell leukemia and vasculitis.

A patient with hairy cell leukemia, systemic vasculitis, and HB8 antigenemia is reported. The patient presented with polyarthralgia before the diagnosis of the leukemia and had documented polyarthritis before the subsequent recognition of the vasculitis. The association of systemic vasculitis and hairy cell leukemia in the setting of HB8 antigenemia is discussed. The therapeutic challenge of treating coincident hairy cell leukemia and vasculitis is presented.

Adult↗