case_images: PMC10522428_01
case_images: Peripheral blood smear examination showing flower cells (3.5% of leukocyte fraction) (a) and red blood cell agglutination (b).
case_images: CRIRH2023-4963196.001.jpg
case_images: PMC10522428_01_CRIRH2023-4963196.001.jpg
case_images: fig1
case_images: Peripheral blood smear examination revealed flower cells (3.5% of leukocyte fraction) and red blood cell agglutination (Figure 1).
case_images: Chest X-ray revealing cardiac enlargement and emphysematous shadows in both the lungs (a). Computed tomography revealing emphysematous shadows in almost all lung fields, left-side pleural effusion (b), and splenomegaly (c).
case_images: CRIRH2023-4963196.002.jpg
case_images: PMC10522428_01_CRIRH2023-4963196.002.jpg
case_images: fig2
case_images: Chest X-ray revealed cardiac enlargement and emphysematous shadows in both the lungs, and computed tomography revealed emphysematous shadows in almost all lung fields, left-side pleural effusion, and splenomegaly (Figure 2).
case_images: Clinical course. Hb: hemoglobin; LD: lactate dehydrogenase; TB: total bilirubin.
case_images: CRIRH2023-4963196.003.jpg
case_images: PMC10522428_01_CRIRH2023-4963196.003.jpg
case_images: fig3
case_images: Although the prednisolone dose was reduced to 10 mg/day, she maintained a good condition with improved right heart overload 6 months later (Figure 3).