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获得性血友病作为胰腺癌的副肿瘤表现。

Acquired haemophilia as a paraneoplastic manifestation of pancreatic cancer.

作者信息

Arain Abeer, Muhsen Ibrahim N, Abdelrahim Maen

机构信息

Houston Methodist Cancer Center, Houston Methodist Hospital, Houston, TX 77030, USA.

https://orcid.org/0000-0001-6295-4318.

出版信息

Ecancermedicalscience. 2020 Jun 4;14:1053. doi: 10.3332/ecancer.2020.1053. eCollection 2020.

DOI:10.3332/ecancer.2020.1053
PMID:32582368
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7302889/
Abstract

Acquired haemophilia is a severe haematological disorder characterised by the presence of anti-factor VIII antibodies. Although rare, it can lead to serious bleeding complications. Acquired haemophilia can be seen in patients with malignancies as a paraneoplastic phenomenon. This is a case of a 52-year-old patient who presented with haematuria and retroperitoneal bleeding soon after being diagnosed with pancreatic adenocarcinoma and subsequently was found to have acquired haemophilia. The treatment of underlying malignancy with chemotherapy may accelerate the eradication of anti-factor VIII antibodies.

摘要

获得性血友病是一种严重的血液系统疾病,其特征是存在抗凝血因子 VIII 抗体。尽管罕见,但它可导致严重的出血并发症。获得性血友病可在恶性肿瘤患者中作为副肿瘤现象出现。这是一例 52 岁的患者,在被诊断为胰腺腺癌后不久出现血尿和腹膜后出血,随后被发现患有获得性血友病。用化疗治疗潜在的恶性肿瘤可能会加速抗凝血因子 VIII 抗体的消除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096c/7302889/d02475e0add5/can-14-1053fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096c/7302889/a3df14a14c5a/can-14-1053fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096c/7302889/b78b6c5ff3ab/can-14-1053fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096c/7302889/d02475e0add5/can-14-1053fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096c/7302889/a3df14a14c5a/can-14-1053fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096c/7302889/b78b6c5ff3ab/can-14-1053fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/096c/7302889/d02475e0add5/can-14-1053fig3.jpg

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本文引用的文献

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Prolonged anticoagulant treatment in patients with cancer: Where do we stand?癌症患者的长期抗凝治疗:我们目前的状况如何?
Thromb Res. 2017 Oct;158:152-153. doi: 10.1016/j.thromres.2017.09.009. Epub 2017 Sep 8.
2
Duodenal tumor presenting as acquired hemophilia in an 88-year-old woman: a clinical case and review of the literature.一名88岁女性十二指肠肿瘤表现为获得性血友病:一例临床病例及文献复习
Case Rep Gastrointest Med. 2012;2012:203801. doi: 10.1155/2012/203801. Epub 2012 Aug 26.
3
Acquired hemophilia in malignancy.恶性肿瘤相关性获得性血友病。
Thromb Res. 2012 Apr;129 Suppl 1:S66-8. doi: 10.1016/S0049-3848(12)70019-1.
4
Management of bleeding in acquired hemophilia A: results from the European Acquired Haemophilia (EACH2) Registry.获得性血友病 A 出血的管理:来自欧洲获得性血友病(EACH2)登记处的结果。
Blood. 2012 Jul 5;120(1):39-46. doi: 10.1182/blood-2012-02-408930. Epub 2012 May 22.
5
Acquired hemophilia a: a current review of autoantibody disease.获得性血友病A:自身抗体疾病的当前综述
Clin Adv Hematol Oncol. 2012 Jan;10(1):19-27.
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Acquired hemophilia as a paraneoplastic manifestation of gastrointestinal stromal tumor.获得性血友病作为胃肠道间质瘤的副肿瘤表现。
South Med J. 2010 Jul;103(7):704-5. doi: 10.1097/SMJ.0b013e3181e1ddf9.
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Acquired dysfibrinogenemia caused by monoclonal production of immunoglobulin lambda light chain.由免疫球蛋白λ轻链单克隆产生引起的获得性异常纤维蛋白原血症。
Haematologica. 2007 Nov;92(11):e111-7. doi: 10.3324/haematol.11837.
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Acquired von Willebrand syndrome: diagnostic problems and therapeutic options.获得性血管性血友病综合征:诊断问题与治疗选择
Am J Hematol. 2007 Jan;82(1):55-8. doi: 10.1002/ajh.20760.
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Acquired coagulation inhibitor-associated bleeding disorders: an update.获得性凝血抑制剂相关出血性疾病:最新进展
Hematology. 2005 Dec;10(6):443-9. doi: 10.1080/10245330500276642.
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New perspectives in hemophilia treatment.血友病治疗的新视角。
Hematology Am Soc Hematol Educ Program. 2005:429-35. doi: 10.1182/asheducation-2005.1.429.