Ntanishyan K I, Sabirov K R, Shcherbakova O V, Vybornykh D E, Shupletsova I A, Tsvetaeva N V
Hematology Research Center, Ministry of Health of Russia, Moscow, Russia.
Ter Arkh. 2017;89(1):78-81. doi: 10.17116/terarkh201789178-81.
The paper describes a case of autoimmune hemolytic anemia (AIHA) in a 27-year-old woman whose examination revealed mesenteric teratoma. AIHA was characterized by a hypertensive crisis and a temporary response to corticosteroid therapy that was complicated by the development of somatogenic psychosis and discontinued. A relapse of hemolysis developed 6 months later. The patient underwent laparoscopic splenectomy and removal of mesenteric root teratoma. Immediately after surgery, a hematological response was obtained as relief of hemolysis and restoration of a normal hemoglobin level. There is a sustained remission of AIHA for the next 16 months.
该论文描述了一名27岁女性自身免疫性溶血性贫血(AIHA)病例,其检查发现肠系膜畸胎瘤。AIHA的特征为高血压危象以及对皮质类固醇治疗的短暂反应,该治疗因躯体性精神病的发展而复杂化并中断。6个月后溶血复发。患者接受了腹腔镜脾切除术和肠系膜根部畸胎瘤切除术。手术后立即获得血液学反应,溶血缓解且血红蛋白水平恢复正常。在接下来的16个月里,AIHA持续缓解。