D'Angelo G, Giardini C, Zanco M D
Laboratorio di Chimica-Clinica, Ematologia e Microbiologia, Ospedale A. Bellini, Somma Lombardo, U.S.S.L. 6, Gallarate.
Recenti Prog Med. 1991 Dec;82(12):675-6.
We report on the occasional presence of iron granules in plasma cells in two male patients respectively 64 and 71 years old, both with excessive drinking habits. One patient also had liver cirrhosis. In both patients the bone-marrow biopsy showed a macrocytic anemia without megaloblasts. We refer the morphologic data because the cases reported are not many and the presence of iron granules in plasma cells was a curious and rare aspect. The most important feature appearing from the data issued is the gap concerning both the source and mechanism that cause this phenomenon. Some investigations have suggested that the plasma cell iron is located in mitochondria, others have noted that iron granules were located between the Golgi region and the rough endoplasmic reticulum. Moreover, the morphologic data are not related to the number of plasma cells in the bone-marrow and there is no causal relation between alcoholic abuse and plasma cell iron. The first problem is common, the second is rare.
我们报告了分别为64岁和71岁的两名男性患者血浆细胞中偶尔出现铁颗粒的情况,这两名患者均有酗酒习惯。其中一名患者还患有肝硬化。两名患者的骨髓活检均显示为无巨幼细胞的大细胞性贫血。我们提及这些形态学数据是因为报道的病例不多,且浆细胞中存在铁颗粒是一个奇特且罕见的现象。从所发布的数据中出现的最重要特征是关于导致这种现象的来源和机制的差距。一些研究表明浆细胞铁位于线粒体中,另一些研究则指出铁颗粒位于高尔基体区域和粗面内质网之间。此外,形态学数据与骨髓中浆细胞的数量无关,酗酒与浆细胞铁之间也没有因果关系。第一个问题很常见,第二个问题很罕见。