"Don't Add Fuel to the Fire"- Hyperhemolysis Syndrome in a Pregnant Woman with Compound Sickle Cell Disease/β0-Thalassemia: Case Report and Review of the Literature.

IF 1.7 4区 医学 Q3 HEMATOLOGY
Acta Haematologica Pub Date : 2024-01-01 Epub Date: 2023-10-13 DOI:10.1159/000533776
Anke Rihsling, Helena Simeunovic, Sergio Sanchez, Christine Henny, Sofia Lejon Crottet, Behrouz Mansouri Teleghani, Michael Daskalakis, Martin Müller, Luigi Raio, Alicia Rovó
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引用次数: 0

Abstract

Hyperhemolysis syndrome (HHS) is a rare and severe posttransfusion complication characterized by the destruction of both recipient and donor red blood cells. The underlying mechanism of HHS is not fully understood and proper management can be difficult. Furthermore, there are few reports regarding HHS in pregnancy. We report on the development and management of HHS in a pregnant woman with known compound sickle cell disease (SCD)/β0-thalassemia and alloimmunization after transfusion of packed red blood cells (PRBC). We aim to raise awareness on this diagnostically challenging and life-threatening type of hemolysis with this report, and to stress the need to consider the diagnosis of HHS in SCD patients with progressive anemia despite PRBC administration.

“不要火上浇油”-患有复合镰状细胞病/ß0-地中海贫血的孕妇的高溶血综合征-病例报告和文献综述。
高溶血综合征(HHS)是一种罕见而严重的输血后并发症,其特征是受体和供体红细胞(RBC)都受到破坏。HHS的基本机制还没有完全理解,适当的管理可能很困难。此外,很少有关于妊娠期HHS的报道。我们报道了一名患有已知复合镰状细胞病/ß-0地中海贫血的孕妇在输注不完全兼容的堆积红细胞(PRBC)后HHS的发展和管理。我们的目的是通过这份报告提高人们对这种诊断上具有挑战性和危及生命的溶血类型的认识,并强调有必要考虑对SCD患者进行HHS的诊断,尽管使用了PRBC。
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来源期刊
Acta Haematologica
Acta Haematologica 医学-血液学
CiteScore
4.90
自引率
0.00%
发文量
61
审稿时长
6-12 weeks
期刊介绍: ''Acta Haematologica'' is a well-established and internationally recognized clinically-oriented journal featuring balanced, wide-ranging coverage of current hematology research. A wealth of information on such problems as anemia, leukemia, lymphoma, multiple myeloma, hereditary disorders, blood coagulation, growth factors, hematopoiesis and differentiation is contained in first-rate basic and clinical papers some of which are accompanied by editorial comments by eminent experts. These are supplemented by short state-of-the-art communications, reviews and correspondence as well as occasional special issues devoted to ‘hot topics’ in hematology. These will keep the practicing hematologist well informed of the new developments in the field.
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