重度β -地中海贫血1例涉及垂体的输血相关性血色素沉着症

Brikshya Gurung, Saurabh Maheshwari, D. Grewal, Pratik Regmi, Ajay Khadka
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引用次数: 0

摘要

垂体血色素沉着症是一种铁超载疾病,在不同的临床条件下发生,与多次输血有关。病例介绍:我们报告一例累及脑垂体和脉络膜丛的继发性血色素沉着症,患者为一名八岁的女性,影像学表现和相关文献回顾。我们的病人在过去的一年里有身高停止增长的历史。她在6个月大的时候被诊断出患有地中海贫血。从那以后,她一直在定期输血。磁共振成像(MRI)显示脑垂体铁沉积的证据。结论:该病的诊断应结合临床表现和多次输血史加以怀疑。可根据特征性影像学表现予以确认。患者应严格监测血清铁水平,并应开始量身定制的铁螯合治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transfusion-Related Hemochromatosis Involving Pituitary Gland in a Patient of Beta-Thalassemia Major
Introduction: Hemochromatosis of the pituitary gland is a form of iron overload disease which occurs in different clinical conditions related to multiple blood transfusions. Case Presentation: We present a case of secondary hemochromatosis involving the pituitary gland and choroid plexus in an eightyear-old female with imaging findings and a review of the relevant literature. Our patient has had a history of cessation of growth in height for the last 1 year. She was diagnosed with a thalassemia major at the age of 6 months. She has been on regular blood transfusions since then. Magnetic resonance imaging (MRI) revealed evidence of iron deposition in the pituitary gland. Conclusion: This diagnosis should be suspected on clinical presentation and history of multiple blood transfusions. It can be confirmed based on characteristic imaging findings. The patient should be strictly monitored with serum iron levels, and a tailored iron chelation therapy should be initiated.
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