肺泡出血与埃文斯综合征有关

IF 0.2 Q4 RESPIRATORY SYSTEM

Egyptian Journal of Chest Diseases and Tuberculosis Pub Date : 2022-10-01 DOI:10.4103/ecdt.ecdt_73_21

N. Belloumi, M. Bougacha, I. Bachouch, C. Habouria, F. Chermiti, S. Fenniche

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引用次数: 0

摘要

Evans综合征将血小板减少症、自身免疫性溶血性贫血和/或中性粒细胞减少症与直接抗人球蛋白试验阳性联系起来。这是一种自身免疫性疾病我们在此报告一位71岁的病人，因Evans症候群、动脉高血压、糖尿病及中度慢性肾功能衰竭而接受随访。患者因大量咯血和血小板计数下降至40000细胞/mm3以下而住院。肺泡出血在计算机断层扫描中可见。急性呼吸衰竭之后是全身休克，最后死亡。这种疾病没有双方同意的治疗方法，但有些治疗方法是有效的。预防管理应考虑，以避免灾难性的并发症。

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Alveolar hemorrhage linked to Evans syndrome

Evans syndrome associates thrombocytopenia, autoimmune hemolytic anemia, and/or neutropenia with a positive direct antihuman globulin test. It is an autoimmune entity. We report here a case of a 71-year-old patient followed up for Evans syndrome, arterial hypertension, diabetes mellitus, and moderate chronic renal failure. He was hospitalized for massive hemoptysis and decline of platelet blood count to under 40 000 cells/mm3. Alveolar hemorrhage was so extended in computed tomography scan. The acute respiratory failure was followed by a systemic shock and then death. This disease has no consensual treatment but some therapies are effective. Preventive management should be considered to avoid cataclysmic complications.

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来源期刊

Egyptian Journal of Chest Diseases and Tuberculosis RESPIRATORY SYSTEM-

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.