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[Hematologic changes following chronic alcoholism].

H J Sanft, K Schulz

    Folia Haematologica (Leipzig, Germany : 1928)
    |January 1, 1983
    PubMed
    Summary
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    Chronic alcohol consumption significantly impacts blood cell systems, causing changes like macrocytosis and thrombocytopenia. These hematological abnormalities are often reversible with alcohol abstinence, aiding in diagnosis.

    Area of Science:

    • Hematology
    • Toxicology

    Context:

    • Alcoholism affects multiple organ systems, including the hematopoietic system.
    • Long-term, high alcohol consumption (years to decades) was studied in 50 hospitalized patients.

    Purpose:

    • To identify and characterize hematological changes associated with chronic alcoholism.
    • To assess the diagnostic utility of these changes and their reversibility upon alcohol cessation.

    Summary:

    • Frequent findings included macrocytosis, macrovoluminity of erythrocytes, hyper-sideraemia, and thrombocytopenia.
    • Bone marrow examination revealed megaloblasts, vacuolization, and increased sideroblasts.
    • Alcohol abstinence led to prompt reversibility of most hematological alterations, indicating diagnostic value.

    Impact:

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    • Hematological changes in alcoholism are reversible with abstinence, offering diagnostic insights.
    • Alcohol-induced liver damage and spleen enlargement may contribute to thrombocytopenia.
    • While methaemoglobin increase is noted, its clinical significance is minimal; however, alcoholics face risks of immune deficiency, hemorrhagic diatheses, thromboembolism, and hemolysis.