中性粒细胞中的胆红素结晶

IF 0.9 4区医学

Indian Journal of Hematology and Blood Transfusion Pub Date : 2024-08-02 DOI:10.1007/s12288-024-01814-x

Ramya Chitturi, Divya Sai Pesala, Sushmita Mayilanandan, Sruthi Yaddanapudi, Roseline Gonmei, Aparna Chinnam

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引用次数: 0

摘要

外周血涂片中的中性粒细胞可为血液病的诊断提供细微的发现或线索。中性粒细胞中出现的毒性颗粒、高分节、颗粒无名、绿色内含物等都能为临床医生提供有价值的信息。胆红素结晶是中性粒细胞中较为罕见的内含物之一。它们通常见于高胆红素血症和败血症患儿。我们介绍了一例偶然在一名血清胆红素水平升高的 3 天大患儿的中性粒细胞中发现胆红素结晶的病例。发现这些结晶后，临床医生应警惕可能出现的胆红素中毒和不良预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Bilirubin Crystals in Neutrophils

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Bilirubin Crystals in Neutrophils

Neutrophils on peripheral smear provide subtle findings or clues to the diagnosis of haematological disorders. The presence of toxic granules, hypersegmentation, pelgerhuet anamoly, green inclusions provide valuable information for clinicians. One of the rarer inclusions in neutrophils are bilirubin crystals. They are usually seen in children with hyperbilirubunemia and sepsis. We present a case of incidentally detected bilirubin crystals in neutrophils of a three day old child with elevated levels of serum bilirubin. Identification of these crystals should alert the clinician about the possible bilirubin toxicity and poor prognosis.

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来源期刊

Indian Journal of Hematology and Blood Transfusion Medicine-Hematology

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发文量

期刊介绍： Indian Journal of Hematology and Blood Transfusion is a medium for propagating and exchanging ideas within the medical community. It publishes peer-reviewed articles on a variety of aspects of clinical hematology, laboratory hematology and hemato-oncology. The journal exists to encourage scientific investigation in the study of blood in health and in disease; to promote and foster the exchange and diffusion of knowledge relating to blood and blood-forming tissues; and to provide a forum for discussion of hematological subjects on a national scale. The Journal is the official publication of The Indian Society of Hematology & Blood Transfusion.