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[中非人类免疫缺陷病毒(HIV)感染中的外周血和骨髓血液学改变。诊断及预后意义]

[Peripheral and bone marrow hematological modifications in infection by the human immunodeficiency virus (HIV) in central Africa. Diagnostic and prognostic significance].

作者信息

Beuzit Y, Bourgarel J, Ngouonimba J

机构信息

Hôpital Central des Armées P. Mobengo, Brazzaville, Congo.

出版信息

Med Trop (Mars). 1992 Apr-Jun;52(2):193-9.

PMID:1406219
Abstract

From the 24 March 1988 to the 15 June 1989, we noticed the peripheric and medullar haematologic modifications of 46 patients infected by HIV, classified in the group IV of CDC. The haematologic modifications found are: a peripheric cytopenia with a constant anemia often serious, a leuconeutropenia, a mild or missing lymphopenia. In comparison: the bone marrow is often rich in the different lineage with more often a sharp lymphoplasmocytal reaction, sometime very characteristic on the cytological side. 2 myeloid leukemia were diagnosed by participation of the myelogram. At least, the proteinogram showed a major polyclonal hypergammaglobulinemy sometimes monoclonal.

摘要

从1988年3月24日至1989年6月15日,我们观察了46例感染HIV且被美国疾病控制与预防中心(CDC)分类为IV组的患者的外周血和骨髓血液学改变。发现的血液学改变有:外周血细胞减少,常伴有严重的持续性贫血、白细胞减少、轻度或无淋巴细胞减少。相比之下:骨髓中不同谱系细胞通常丰富,常有明显的淋巴浆细胞反应,有时在细胞学方面非常典型。通过骨髓造影诊断出2例髓系白血病。至少,蛋白电泳显示主要为多克隆高球蛋白血症,有时为单克隆。

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