Yonekura S, Nagao T, Arimori S, Miyaji M, Ogoshi K, Tsutsumi Y
Department of Internal Medicine, Tokai University School of Medicine, Isehara, Japan.
Jpn J Med. 1990 Sep-Oct;29(5):512-5. doi: 10.2169/internalmedicine1962.29.512.
We report a case of autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura (Evans' syndrome) associated with gastric plasmacytoma. Recognition of this rare entity is important because surgery and chemotherapy together may achieve a cure. Possible mechanisms causing the hemolytic anemia and thrombocytopenia are discussed.
我们报告一例与胃浆细胞瘤相关的自身免疫性溶血性贫血和特发性血小板减少性紫癜(伊文氏综合征)。认识到这种罕见病症很重要,因为手术和化疗联合应用有可能实现治愈。文中还讨论了导致溶血性贫血和血小板减少的可能机制。