Cases from private practices - Papimi

First Medical Department of
speciality in Hematology, Oncology
and Immunology
Head of the Department:
Assistant professor: Dr.
med.Christoph Nert
SCHWABING HOSPITAL OF
MUNISH
Mrs C. G.,
………………..,
82319 Starnberg, Germany.
Dear Mrs G.,
Translated from German
by Christine Santas and John Skandalis
Academic Didactic Clinic
of Ludwing-Maximillian University,
wo/03
Koelner Platz 1, 80804
Muenchen
Tel. 089/3068-2228
Fax:
089/3068-3912
Date: 14.05.1998
e-mail: 1 med.Kms@extern.Inzmuenchen.de
With the following, I would like to inform you, about the results of the tests, in which you have been
submitted at the outpatients΄ department, on 21/04/98. We have already called you, on 27/04/98 to
announce the good news. In addition, I send you enclosed, a copy of the real findings and also copies of
all the previous ones, that we do have here.
In relation to your case, I refer you to Dr. Kaboth΄s letter of the 28/10/98, which I also enclose, as a
copy.
Diagnosis of Hematology
After the operation and the radiation of an Ewing sarcoma, at the age of 14. We had a suspicion of the
Willebrant-Juergens syndrom
Laboratory researches
Hematic picture: Hb 15,5 g/dl, Erythrocytes 5 Mio., HKT 45,6%, MCV 89 fl, MCH 30 pg,
Leukocytes 7.750/ml and 64 Segmenterkigen
1 Eosinophilen, 9 Monocellulars , and 26 Lymphocellulars into the differential hematic picture,
Thrombocellulars 336.000/ml, Retikulocellurals 11o/000. BSK 1/8 mm n.W.
Further laboratory research
Immunglobulin, quantitavely: lgG 1.120 mg/dl, lgA 239 mg/dl, LgM 165 mg/dj, Haptoglobin 129
mg/dl, b2 Microglobulin 1,69 mg/l, CRP < 3,6 mgl (all rates are within normal limits).
Freezing analysis
Rapidity: 104%, INR 0,99, PTT 33,8, ― Thrombosis time 18,2‖, Fibrinogen 324 mg/dl, Factor VIII
138%, Co-factor of Ristocetin 112%.
Antigen Von Willebrand 111% (all rates are within normal limits). Furthermore, in Orbitometrie, such
freezing time, as the quality of freezing, are quite normal.
Conclusively, it is a fact, that all the laboratory findings that came up as a result of our tests, are
within normal rates. Even, the Willebrand factor which was low, 10 years ago, it is within normal
limits now.
We have promised that we would check, this so pleasant and unexpected result.
Please consider, that I am always available, for any further, possible clarifications.
With regards,
Assistant Professor: Dr. med. C.Nert
Head of the Departement
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