在慢性淋巴细胞白血病和糖尿病酸性脂肪酸症中出现伪高血症
Mahfujul Z Haque1, Aishah Nasir2, Ramzan Judge3
1Michigan State University College of Human Medicine Grand Rapids Michigan USA.
Clinical case reports
|August 25, 2023
概括
伪高血症,一个虚假的高值,可能是慢性淋巴细胞白血病 (CLL) 中高白细胞计数的结果. 这一案例凸显了需要仔细诊断,以避免不必要的治疗.
科学领域:
- 临床医学 临床医学
- 血液学 血液学 血液学
- 实验室医学 实验室医学
背景情况:
- 伪高血症可能导致高血症的误诊,导致不适当的治疗和阳性低血症.
- 患有白细胞体和血栓细胞体的患者有伪高血症的风险,尤其是在没有真正高血症的其他迹象的情况下.
研究的目的:
- 在患有慢性淋巴细胞白血病 (CLL) 和白细胞病的患者中呈现严重的伪高血病例.
- 强调识别伪高血症的重要性,以防止不必要的干预.
- 建议对CLL患者准确诊断高血症的方案进行修订.
主要方法:
- 病例报告介绍了一名被送往重症监护室 (ICU) 的病人的病例报告,该病例的水平严重升高.
- 临床评估真实高血症与伪高血症的迹象.
- 在患者诊断慢性淋巴细胞白血病 (CLL) 和糖尿病酸症 (DKA) 的背景下审查实验室发现.
主要成果:
- 该患者出现了由于CLL而导致的严重白细胞瘤和临界高水平.
- 实现了对伪高血症的迅速识别,避免了积极的降疗法.
- 这一案例强调了CLL中高白细胞计数与伪高血症之间的联系.
结论:
- 伪高血是白细胞病患者,特别是慢性淋巴细胞白血病 (CLL) 患者的重大问题.
- 临床怀疑和适当的诊断评估对于将伪高血症与真正的高血症区分开来至关重要.
- 应该修订机构协议,以纳入在风险患者群体中识别伪高血症的措施,例如患有CLL的患者.
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