Presentation of CaseA 73-year-old man was admitted to the hospital because of dyspnea.He was well until six years before admission, when he entered the hospital for a prostatectomy. Examination disclosed splenomegaly in addition to prostatic enlargement; no other abnormality was found. Routine laboratory studies were negative except that the differential count revealed 20 per cent atypical lymphocytes. After discharge the patient was seen periodically in the clinic. Three years before entry cervical lymphadenopathy was observed; splenomegaly persisted. A biopsy of an enlarged lymph node disclosed lymphadenitis.Five months before admission he came to the clinic because of fever . . .
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