特发性血小板减少症伴缺铁性贫血。

IF 3 Q2 Medicine
Clinical Medicine Insights-Blood Disorders Pub Date : 2013-04-14 eCollection Date: 2013-01-01 DOI:10.4137/CMBD.S11371
Ramy Ibrahim, Jaffar Ahmad Alhilli, Tyler T Cooper, Irina Dashkova, Judah Guy, Anjula Gandhi, Mohammad Zaman
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引用次数: 5

摘要

我们报告一例罕见的贫血和血小板减少由于子宫肌瘤和子宫腺肌病,并发免疫性血小板减少性紫癜(ITP)。一名34岁的非裔美国妇女出现月经过多和子宫出血的症状,后来接受了输血和血小板输注以及类固醇铁治疗。子宫肌瘤通常会引起血液学紊乱,如贫血和反应性血小板增多症,以及较少出现的血小板减少症。此外,这种血液学紊乱是继发于大量和不规则的子宫出血,这是典型的表现。既往子宫肌瘤的诊断,并再次确认盆腔和经阴道超声排除其他局部病理。Coombs试验和其他几种血清学提示ITP,可通过骨髓活检确诊。在之前的一个案例研究中,我们报道了一名出现严重贫血和血小板减少症的缺铁中年女性在引入铁治疗后,其血凝指标和血小板计数呈阳性反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Idiopathic thrombocytopenia with iron deficiency anemia.

Idiopathic thrombocytopenia with iron deficiency anemia.

Idiopathic thrombocytopenia with iron deficiency anemia.

Idiopathic thrombocytopenia with iron deficiency anemia.

We report a rare case of anemia and thrombocytopenia as a result of uterine fibroid and adenomyosis, complicated by immune thrombocytopenic purpura (ITP). Symptoms were presented as menorrhagia and metrorrhagia in a 34-year-old African American woman, who was later treated with blood and platelet transfusion and iron therapy with steroids. Uterine fibroids are commonly found to cause hematologic disturbances such as anemia and reactive thrombocytosis and, less commonly, thrombocytopenia. Moreover, such hematologic disturbances are secondary to heavy and irregular uterine bleeding, which is typically presented. A previous uterine fibroid diagnosis was made and reconfirmed by pelvic and transvaginal ultrasound to exclude other locoregional pathologies. ITP was suggested by Coombs test and several other serologies, leading to confirmation via bone marrow biopsy. In a previous case study, we reported positive responses in hemotecrit and platelet count after the introduction of iron therapy to an iron-depleted middle-aged female presenting severe anemia and thrombocytopenia.1.

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CiteScore
3.70
自引率
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