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镰状细胞病患者的急性骨筋膜室综合征

Acute compartment syndrome in a patient with sickle cell disease.

作者信息

Cochrane E, Young S, Shariff Z

机构信息

Bradford Teaching Hospitals NHS Foundation Trust, UK.

出版信息

Ann R Coll Surg Engl. 2020 Nov;102(9):e1-e2. doi: 10.1308/rcsann.2020.0160. Epub 2020 Aug 11.

Abstract

Haemoglobin SC (HbSC) disease accounts for 30% of cases of sickle cell disease in the United Kingdom and the United States. Unlike other sickle cell carriers, who are relatively asymptomatic, people with HbSC disease have a combination of genotypes with the potential to cause considerable morbidity due to intracellular water loss. Patients can present with acute pain, acute chest syndrome, proliferative retinopathy, splenic and renal complications, or stroke. We present a young man with HbSC disease who developed acute compartment syndrome. This is only the second report of this syndrome in a patient with HbSC disease. This is a very rare complication in HbSC disease, but it can have serious implications.

摘要

血红蛋白SC(HbSC)病占英国和美国镰状细胞病病例的30%。与其他相对无症状的镰状细胞携带者不同,HbSC病患者具有多种基因型组合,由于细胞内水分流失,有可能导致相当严重的发病率。患者可能出现急性疼痛、急性胸部综合征、增殖性视网膜病变、脾脏和肾脏并发症或中风。我们报告了一名患有HbSC病的年轻男性,他发生了急性筋膜室综合征。这是该综合征在HbSC病患者中的第二例报告。这在HbSC病中是一种非常罕见的并发症,但可能产生严重影响。

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