贝塔血症表现为白血病反应:一个罕见的病例报告
Garima Anandani1, Vaishali Bhankhodia2, Komal Kumar Jangir3
1Assistant Professor, Department of Pathology, AIIMS, Rajkot, Gujarat, India, Orcid: https://orcid.org/0000-0002-7981-3244, Corresponding Author.
The Journal of the Association of Physicians of India
|September 16, 2025
概括
标记性白细胞症在血红蛋白病变中很少见. 这一案例突出显示了贝塔沙拉西米亚特征与白细胞症,具有挑战性的诊断与酒精性肝病和腹膜炎.
科学领域:
- 血液学 血液学 血液学
- 内部医学 内部医学
- 遗传学 是一个遗传学.
背景情况:
- 血红细胞瘤在血红蛋白病变中不常见.
- 诊断挑战来自白细胞瘤与细胞衰竭和有机巨变症的白细胞瘤.
研究的目的:
- 报告一种表现出明显白细胞瘤的β-血病特征病例.
- 强调综合血液图分析在诊断复杂的血液病的重要性.
主要方法:
- 一个41岁的男性患有呼吸短促和腹部膨胀的病例报告.
- 完整的血液样本,外围涂抹检查,以及血红蛋白高性能液态染色学.
- 诊断出贝塔血症特征,慢性酒精性肝病和自发性细菌性周周炎.
主要成果:
- 患者呈现了微血管病性血液溶解性贫血和白血病反应.
- 血红蛋白高性能液体染色学证实了β血病特征.
- 同时存在的疾病包括慢性酒精性肝病和自发性细菌性腹膜炎.
结论:
- 血红蛋白病变中的白细胞瘤,虽然不常见,但需要彻底调查.
- 综合血液图分析对于区分白细胞病与白血病至关重要.
- 综合性临床和实验室评估对于准确的诊断和管理至关重要.
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