PMC5216152_01
A chest X-ray on admission showed cardiomegaly, with a cardiothoracic ratio of 66%.
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A chest X-ray showed cardiomegaly, with a cardiothoracic ratio of 66% (Fig. 1).
Abdominal computed tomography on admission revealing bilateral renal atrophy and a mass, 38 mm in diameter, in the right kidney.
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A computed tomography (CT) scan of his abdomen showed bilateral renal atrophy and a mass, 38 mm in diameter, in the right kidney (Fig. 2).
Clinical course. Horizontal axis: hospital days, APTT: activated partial thromboplastin time (s), PT-INR: international normalized ratio of prothrombin time, Hb: hemoglobin (g/dL), Vit K: Vitamin K (Menatetrenone), PSL: prednisolone (mg/day), FFP: Fresh frozen plasma, RCC-LR: red cells concentrates-leukocytes reduced
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The patient's clinical course is illustrated in Fig. 3.
Cross-mixing test. Plasma from the patient and normal were mixed at various rations after incubation for 2 h at 37 C. It demonstrated no factor deficiency but suggested a delayed-type inhibitor pattern.
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A plasma cross-mixing test was then performed and revealed no factor deficiency, but suggested a delayed-type inhibitor pattern (Fig. 4).