[沉默型α-地中海贫血并发酒精诱导的继发性环状铁母细胞贫血]。

Q4 Medicine
Yan Jiang, Ya Chen, Lan Yang, Wei-Bin Li
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引用次数: 0

摘要

目的:探讨继发性铁母细胞性贫血(SA)的实验室检查特点。方法:回顾性分析1例酒精性继发性SA的一般资料,并复习国内外相关文献,总结本病的临床特点。结果:患者诊断为小细胞性低色性贫血,检测到红细胞异常,如椭圆细胞、靶细胞、泪滴细胞等。骨髓涂片Perls - Prussian blue染色检测到铁超载和15%以上的环状铁母细胞,而周期性酸希夫(PAS)染色、EGR1和SF3B1基因检测均为阴性,观察到罕见的香港α-地中海贫血基因型(可能为HKαα/αα或HKαα/-α3.7)。结论:患者病史、用药史、外周血及骨髓细胞学形态学、基因检测、细胞遗传学等有助于继发性SA的诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Silent α-Thalassemia Complicated with the Alcohol-Induced Secondary Ring Sideroblastic Anemia].

Objective: To explore the characteristics of laboratory examination of secondary sideroblastic anemia (SA).

Methods: A retrospective analysis was conducted on the general information of a case of alcohol-induced secondary SA, and relevant domestic and foreign literature was reviewed to summarize the clinical characteristics of this disease.

Results: The patient was diagnosed with microcytic hypochromic anemia, with abnormal red blood cells detected, such as elliptocytes, target cells, and teardrop cells, etc. Iron overload and more than 15% of ring sideroblasts were detected by Perls' Prussian blue staining of bone marrow smear, while periodic acid-schiff (PAS) staining, EGR1 and SF3B1 gene tests were all negative, and rare genotype of Hong Kong α-thalassemia (possibly HKαα/αα or HKαα/-α3.7) was observed.

Conclusion: Patient medical history and medication history, peripheral blood and bone marrow cytological morphology, genetic testing, cytogenetics, etc. are helpful for the diagnosis of secondary SA.

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来源期刊
中国实验血液学杂志
中国实验血液学杂志 Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
7331
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