In the clinic youe establish that the sweats are not likely to be due to lymphoma (brief, non-drenching, day and night and not a major issue for the patient). You discuss the pros and cons of prognostic testing and in the end Mrs X decides she would rather not be tested as she doesn’t need treatment at present.
She is followed up intermittently over the next year. However she is unexpectedly admitted with severe fatigue and is found to have an Hb of 5.1, WCC of 48 and plts of 120. Examination does not suggest bulky lymphadenopathy or splenomegaly.
Answer one of the following questions:
What is your differential for this presentation?
What investigations might you need?
What management would you suggest for your chosen diagnosis?
Tweet your response using the#teamhaem hashtag. The last segment of this case will be posted early next week so please consider the questions and tweet over the weekend.