毛细胞白血病:乙型肝炎相关再生障碍性贫血和梅毒的鉴别诊断。

IF 1.1 Q4 HEMATOLOGY
I Kindekov, E Beleva, M Kadish, I Ionchev, N Semerdzhieva
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引用次数: 0

摘要

再生障碍性贫血在全世界的发病率为2-5百万。然而,新诊断的骨髓发育不全病例的频率更高,其中一些患者最初到急诊室就诊。病例描述:我们报告一例中年男子全血细胞减少症。在这种情况下,再生障碍性贫血与乙型肝炎和梅毒只是最初的诊断。一种惰性血液恶性肿瘤——毛细胞白血病——在血液学临床被诊断为骨髓衰竭的真正原因。结论:本临床病例使我们对乙型肝炎和梅毒对毛细胞白血病临床表现的贡献作出结论,尽管不是决定性的。全血细胞减少症患者也需要详细和一致的诊断计划。恶性血液病患者的乙型肝炎感染诊断失败将导致致命的治疗错误。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hairy Cell Leukemia: A Differential Diagnosis of Hepatitis B-Associated Aplastic Anemia and Syphilis.

Aplastic anemia occurs with an incidence of 2-5: 1 million people worldwide. However, the frequency of newly diagnosed cases of bone marrow aplasia is greater, and some of these patients present to emergency departments initially. Description of Case: We present the case of a middle-aged man with pancytopenia. In this case, aplastic anemia associated with hepatitis B and syphilis was only the initial diagnosis. An indolent hematologic malignancy-hairy cell leukemia-was diagnosed as the real cause of the bone marrow failure in a clinic of hematology. Conclusions: This clinical case allows us to make a conclusion, albeit not definitively, about the contribution of hepatitis B and syphilis to the clinical manifestation of hairy cell leukemia. A detailed and consistent diagnostic plan is also required in patients presenting with pancytopenia. Failure to diagnose a hepatitis B infection in a patient with malignant hematologic disease would lead to fatal therapeutic errors.

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来源期刊
Hematology Reports
Hematology Reports HEMATOLOGY-
CiteScore
0.90
自引率
0.00%
发文量
47
审稿时长
10 weeks
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