Adedeji M O
East Afr Med J. 1989 Jun;66(6):419-21.
Florid leuco-erythroblastic blood picture in sickle cell disease (SCD) resembling chronic myeloid leukaemia and secondary dyserythropoietic activity resembling Di Guglielmo's disease in SCD have previously been reported. The aim of this study is to further focus attention on this phenomenon and to report that megaloblastic crisis in SCD can be misdiagnosed as acute leukaemia (erythroleukaemia). The need to do haemoglobin electrophoresis in all suspected cases of acute or chronic leukaemia in people of African ancestry is advocated.
先前已有报道,镰状细胞病(SCD)中出现类似慢性髓性白血病的显著白红系病态造血血象,以及SCD中类似迪古列尔莫病的继发性红系造血异常。本研究的目的是进一步关注这一现象,并报告SCD中的巨幼细胞危象可能被误诊为急性白血病(红白血病)。提倡对所有非洲裔疑似急慢性白血病患者进行血红蛋白电泳。