黏液性水肿昏迷合并全血细胞减少症

Myxedema Coma Complicated by Pancytopenia.

作者信息

Mupamombe Charles T, Reyes Felix M, Laskar Derek B, Gorga Joseph

机构信息

SUNY Downstate Medical Center, Department of Medicine, Brooklyn, NY, USA.

SUNY Downstate Medical Center, Department of Pathology, Brooklyn, NY, USA.

出版信息

Case Rep Med. 2019 Jul 14;2019:2320751. doi: 10.1155/2019/2320751. eCollection 2019.

DOI:10.1155/2019/2320751

PMID:31396281

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6664498/

Abstract

Hypothyroidism is common, with an extreme manifestation of myxedema coma if untreated. Hematologic consequences of myxedema coma include mild leukopenia and anemia, rarely pancytopenia. We present a patient with typical symptoms of myxedema coma, but found to be pancytopenic, with sustained response to levothyroxine and blood transfusion for anemia.

摘要

甲状腺功能减退症很常见，如果不治疗会出现黏液性水肿昏迷这一极端表现。黏液性水肿昏迷的血液学后果包括轻度白细胞减少和贫血，很少出现全血细胞减少。我们报告了一名具有黏液性水肿昏迷典型症状的患者，但发现其存在全血细胞减少，对左甲状腺素和针对贫血的输血治疗有持续反应。