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Paroxysmal nocturnal hemoglobinuria: a rare acquired hematologic disorder
Mónica Santiago Casiano1, Liza M Paulo Malavé, Omayra González Rodríguez
1Hematology-Oncology Section, VA Caribbean Healthcare System and San Juan City Hospital. mscasiano002@yahoo.com
Abstract:
Paroxysmal nocturnal hemoglobinuria is a rare hematological disorder. It is an uncommon cause of intravascular hemolysis, thrombosis and bone marrow suppression. We report a 19-year-old female patient admitted to the hospital with pancytopenia. Workout of pancytopenia disclosed paroxysmal nocturnal hemoglobinuria. The patient responded well to treatment with blood transfusions, steroids and eculizumab. We discuss the underlying pathophysiology, clinical manifestations and treatment of this rare entity.
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