作为胃B细胞淋巴瘤的初始表现的耐寒性自身免疫血液溶解性贫血:一个病例报告
Gayathri Fernando1, S A P N Samarasingha2, Harindra Karunatilake2
1National Hospital of Sri Lanka, Colombo, Sri Lanka. fernandogayathri95@gmail.com.
Journal of medical case reports
|October 8, 2025
概括
耐寒性自身免疫血清性贫血可能是胃B细胞淋巴瘤的第一个迹象. 重新评估和成像对于诊断这种罕见疾病的次要原因至关重要.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 感冒凝聚素疾病 (CAD) 是一种感冒抗体自身免疫血清性贫血症.
- CAD 可能是感染或淋巴增殖性疾病的初级或次要症状.
研究的目的:
- 报告一种罕见的耐寒性自身免疫性血液溶解性贫血病病例,作为胃B细胞淋巴瘤的初始表现.
主要方法:
- 一名53岁的妇女出现了暗示血液溶解的症状.
- 诊断工作包括血液检测,外围涂抹,直接抗体检测,CT扫描和骨髓活检.
- 最初的治疗是无效的,促使重复成像和活检.
主要成果:
- 患者被诊断为患有冷自免疫血清性贫血症.
- 对于恶性瘤的初步调查是负面的.
- 随后的成像显示出胃质,后来证实为高等级B细胞胃淋巴瘤.
结论:
- 耐寒性自身免疫血清性贫血可能是胃B细胞淋巴瘤的初始表现.
- 重新评估和重新成像对于确定耐火性CAD的次要原因至关重要.
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