病例报告:先天性甲基血红蛋白血症1型:良性紫绀?

Q3 Medicine

Acute Medicine Pub Date : 2022-01-01 DOI:10.52964/AMJA.0893

Judith R Fleming, Matthew I Maycock

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引用次数: 0

摘要

1型先天性甲基血红蛋白血症是一种罕见的原因，紫绀可能表现在受影响的个人在伴随疾病。治疗指征和目的不同于获得性甲基血红蛋白贫血。1型甲基血红蛋白血症与婴儿死亡率高的2型不同。1例已知1型先天性高血红蛋白血症的25岁男性，在A型流感背景下表现为发绀，动脉血气分析显示高血红蛋白水平。根据患者的“功能性血红蛋白”水平进行评估，没有急性静脉注射亚甲蓝或抗坏血酸的适应症。可以考虑在某些患者群体的美容基础上处方这些。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Case Report: Congenital Methaemoglobinaemia Type 1: Benign Cyanosis?

Type 1 congenital methaemoglobinaemia is a rare cause of cyanosis which may manifest in affected individuals during concomitant illness. Treatment indications and aims differ from that of acquired methaemoglobinaemia. Type 1 methaemoglobinaemia is a distinct condition from the type 2 form which has a high mortality rate in infancy. A 25 year old male with known type 1 congential methaemoglobinaemia presented with cyanosis in the context of Influenza A with raised methaemoglobin levels on arterial blood gas analysis. The patient was assessed based on his level of 'functional haemoglobin' with no acute indication for IV methylene blue or ascorbic acid. Consideration could be given to prescription of these on a cosmetic basis for some patient populations.

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来源期刊

Acute Medicine Medicine-Emergency Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.