Kida T, Nakamura H, Kuroki T, Mizoguchi Y, Kobayashi K, Yamane T, Im T, Tatsumi N, Ata K, Wada H
Third Department of Internal Medicine, Osaka City University Medical School.
Rinsho Ketsueki. 1990 Jun;31(6):813-9.
A case of hereditary stomatocytosis with hemolytic anemia, increased autohemolysis, increased osmotic fragility, and shortened erythrocyte survival is reported. The erythrocytes were abnormally permeable to sodium and potassium; the sodium concentration of the erythrocytes was high, and the potassium level was low. This case was different from the first reported Japanese case of hereditary stomatocytosis of the hydrocytosis type in the Na(+)-K+ ATPase and Mg+ ATPase activity. In the first reported Japanese case, these activities were within normal limits, but in this case, they were increased. The findings indicate that membrane transport in hereditary stomatocytosis of the hydrocytosis type may vary from case to case.
报告了一例伴有溶血性贫血、自身溶血增加、渗透脆性增加及红细胞存活期缩短的遗传性口形红细胞增多症病例。红细胞对钠和钾的通透性异常;红细胞钠浓度高,钾水平低。该病例在钠钾ATP酶和镁ATP酶活性方面与首例报道的日本水形遗传性口形红细胞增多症病例不同。在首例报道的日本病例中,这些活性在正常范围内,但在本病例中,它们增加了。这些发现表明,水形遗传性口形红细胞增多症中的膜转运可能因病例而异。