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伴有多核成红细胞的罕见巨幼细胞贫血:两例合并败血症和急性肾衰竭的病例

Unusual megaloblastic anaemia wiht multinucleate erythroblasts: two cases with septicaemia and acute renal failure.

作者信息

Saary M, Sissons J G, Davies W A, Hoffbrand A V

出版信息

J Clin Pathol. 1975 Apr;28(4):324-31. doi: 10.1136/jcp.28.4.324.

DOI:10.1136/jcp.28.4.324
PMID:1127125
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC475700/
Abstract

The case histories and blood pictures of two patients who had cardiac lesions, septicaemia, and renal failure and terminally developed a leucoerythroblastic anaemia with megloblastic features associated with multinucleate erythroblasts, are described. Though folate deficiency may have made a minor contribution to the blood abnormalities, it is considered that some other disturbance in erythropoiesis was responsible for the bizarre blood and bone marrow changes in these patients. Similar cases reported in the earlier literature are reviewed.

摘要

本文描述了两名患有心脏病变、败血症和肾衰竭的患者的病历及血常规情况,这两名患者最终发展为具有巨幼细胞特征的红系白血病性贫血,并伴有多核幼红细胞。尽管叶酸缺乏可能对血液异常有轻微影响,但据认为,红细胞生成的其他一些紊乱是导致这些患者出现奇异血液和骨髓变化的原因。本文还回顾了早期文献中报道的类似病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/37750517e63d/jclinpath00138-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/fd904fab47de/jclinpath00138-0072-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/7d9c2d4ddf03/jclinpath00138-0073-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/68c49b4f20fb/jclinpath00138-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/37750517e63d/jclinpath00138-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/fd904fab47de/jclinpath00138-0072-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/7d9c2d4ddf03/jclinpath00138-0073-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/68c49b4f20fb/jclinpath00138-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4875/475700/37750517e63d/jclinpath00138-0076-a.jpg

相似文献

1
Unusual megaloblastic anaemia wiht multinucleate erythroblasts: two cases with septicaemia and acute renal failure.伴有多核成红细胞的罕见巨幼细胞贫血:两例合并败血症和急性肾衰竭的病例
J Clin Pathol. 1975 Apr;28(4):324-31. doi: 10.1136/jcp.28.4.324.
2
Electron microscope and high resolution autoradiographic studies of megaloblastic erythropoiesis.巨幼红细胞生成的电子显微镜及高分辨率放射自显影研究。
Acta Haematol. 1977;57(1):1-14. doi: 10.1159/000207854.
3
Detection of incipient megaloblastic anaemia in peripheral blood.外周血中早期巨幼细胞贫血的检测
East Afr Med J. 1979 Aug;56(8):375-80.
4
Abnormalities in folate binding pattern of serum from a patient with megaloblastic anemia and folate deficiency.巨幼细胞贫血和叶酸缺乏患者血清叶酸结合模式异常。
Clin Chim Acta. 1981 Jan 22;109(2):225-8. doi: 10.1016/0009-8981(81)90338-7.
5
[Macrocytosis/macrocytic anemia].[大细胞性/大细胞性贫血]
Praxis (Bern 1994). 2005 Jun 29;94(26-27):1051-5; quiz 1056. doi: 10.1024/0369-8394.94.26.1051.
6
Reduced erythrocytic deformability in megaloblastic anemia.巨幼细胞贫血中红细胞变形性降低。
Am J Clin Pathol. 1976 Dec;66(6):953-7. doi: 10.1093/ajcp/66.6.953.
7
[Cytodynamics of the erythropoiesis-erythrocatheresis interplay in megaloblastic anemias].
Rev Clin Esp. 1977 Apr 15;145(1):11-6.
8
Dyserythropoiesis and annulate lamellae.异常红细胞生成与环层板
Br J Haematol. 1975 Jul;30(3):307-10. doi: 10.1111/j.1365-2141.1975.tb00546.x.
9
[Thalassemia major manifested by megaloblastic anemia caused by folate deficiency].[由叶酸缺乏引起巨幼细胞贫血表现的重型地中海贫血]
Arch Fr Pediatr. 1983 Dec;40(10):799-801.
10
Red cell basic ferritin content of patients with megaloblastic anaemia due to vitamin B12 or folate deficiency.维生素B12或叶酸缺乏所致巨幼细胞贫血患者红细胞碱性铁蛋白含量
Scand J Haematol. 1984 Oct;33(4):373-7. doi: 10.1111/j.1600-0609.1984.tb00710.x.

引用本文的文献

1
Problems in the diagnosis and investigation of megaloblastic anemia.巨幼细胞贫血的诊断与检查中的问题
Can Med Assoc J. 1980 May 10;122(9):999-1004.
2
Severe thrombocytopenia associated with acute folic acid deficiency and severe hemorrhage in two patients.两名患者出现与急性叶酸缺乏相关的严重血小板减少症并伴有严重出血。
Can Med Assoc J. 1984 Feb 15;130(4):418-20, 422.
3
Folate deficiency in acutely ill patients.急性病患者的叶酸缺乏

本文引用的文献

1
Multipolar giant erythroblastosis; a second observation.多极巨成红细胞增多症;另一例观察报告。
Rev Belg Pathol Med Exp. 1955 Jun;24(5):389-94.
2
Dyserythropoiesis and dyserythropoietic anemias.红细胞生成异常与异常红细胞生成性贫血。
Prog Hematol. 1973;8:99-129.
3
Dysplastic anaemias.发育异常性贫血
Ir J Med Sci. 1983 Feb;152(2):73-82. doi: 10.1007/BF02961035.
4
Letter: Unusual megaloblastic anaemia.信函:罕见的巨幼细胞贫血。
J Clin Pathol. 1975 Dec;28(12):1007-8. doi: 10.1136/jcp.28.12.1007.
5
Letter: Folic acid deficiency during intensive therapy.信件:强化治疗期间的叶酸缺乏
Br Med J. 1976 Feb 21;1(6007):461. doi: 10.1136/bmj.1.6007.461-b.
6
Acute marrow folate deficiency during intensive care.重症监护期间的急性骨髓叶酸缺乏
Br Med J. 1978 Mar 11;1(6113):624-5. doi: 10.1136/bmj.1.6113.624.
Nouv Rev Fr Hematol. 1972 May-Jun;12(3):375-83.
4
[Refractory anemias: acquired enzymopathies of hematopoietic stem cells].
Nouv Rev Fr Hematol. 1969 Jan-Feb;9(1):65-86.