贫血、血小板减少和皮肤病变

IF 0.4 Q4 EMERGENCY MEDICINE
Erika Poggiali, Giorgio Orofino, J. Peccatori
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引用次数: 0

摘要

一名73岁男性,患有高尿酸血症、血脂异常和甲状腺功能减退症,以3个月的发热、用力呼吸困难、进行性虚弱和无痛不痒皮肤病变就诊于急诊室。体格检查显示患者全身有紫色丘疹和斑块,双侧腿部有轻微水肿。实验室研究显示严重的大细胞性贫血(血红蛋白4.8 g/dL,平均细胞体积119 fL)和血小板减少症(34000 /mm3)伴有高铁素血症(1894 ng/mL,正常值<400)和血清B12升高(1412 pg/mL,正常值197-771),与ESR 71 mm/h(正常值1-15),CRP 139 mg/L(正常值<6)和降钙素原1.05 ng/mL(正常值<0.5)相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anaemia, thrombocytopenia and skin lesions
A 73-year-old man affected by hyperuricemia, dyslipidaemia and hypothyroidism presented to the emergency room with a 3-month history of fever, exertional dyspnea, progressive asthenia, and painless not itchy skin lesions. Physical exam showed purplish papules and plaques affecting any area of his body, and a slight bilateral oedema of his legs. Laboratory studies revealed a severe macrocytic anaemia (haemoglobin 4.8 g/dL, mean cell volume 119 fL) and thrombocytopenia (34,000/mm3) with hyperferritinemia (1894 ng/mL, normal value <400) and increased serum B12 (1412 pg/mL, normal value 197-771), associated with ESR 71 mm/h (normal value 1-15), CRP 139 mg/L (normal value <6), and procalcitonin 1.05 ng/mL (normal value <0.5).
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来源期刊
Emergency Care Journal
Emergency Care Journal EMERGENCY MEDICINE-
CiteScore
0.10
自引率
60.00%
发文量
29
审稿时长
10 weeks
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