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白细胞红细胞增多症作为镰状细胞病患者细小病毒B19感染的一种罕见表现。

Leukoerythroblastosis as an Unusual Presentation of Parvovirus B19 Infection in a Sickle Cell Patient.

作者信息

Patel Pratik A, Weinzierl Elizabeth P, Wechsler Daniel S

机构信息

Aflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA, USA.

Department of Pathology, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Case Rep Pediatr. 2020 Sep 22;2020:8841607. doi: 10.1155/2020/8841607. eCollection 2020.

DOI:10.1155/2020/8841607
PMID:33029441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7528142/
Abstract

Parvovirus B19 infection in pediatrics most commonly causes fifth disease, a mild viral illness. Hematologic manifestations include severe anemia, especially in patients with chronic hemolytic anemias or who are immunocompromised. Because of the shortened life span of erythrocytes in patients with sickle cell disease, parvovirus infection can cause transient aplastic crisis which can be life-threatening. However, leukocytosis and thrombocytosis are rarely seen. We report leukoerythroblastosis as an unusual presentation of acute parvovirus B19 infection in a previously splenectomized 12-year-old boy with sickle cell disease.

摘要

小儿感染细小病毒B19最常见的是引起传染性红斑,这是一种轻度病毒性疾病。血液学表现包括严重贫血,尤其是在患有慢性溶血性贫血或免疫功能低下的患者中。由于镰状细胞病患者红细胞寿命缩短,细小病毒感染可导致短暂性再生障碍危象,这可能危及生命。然而,白细胞增多和血小板增多很少见。我们报告了一名12岁镰状细胞病患儿在脾切除术后出现红白血病,这是急性细小病毒B19感染的一种不寻常表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a37/7528142/56f1c916c075/CRIPE2020-8841607.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a37/7528142/56f1c916c075/CRIPE2020-8841607.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a37/7528142/56f1c916c075/CRIPE2020-8841607.001.jpg

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本文引用的文献

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Viral Infections in Juvenile Myelomonocytic Leukemia: Prevalence and Clinical Implications.青少年骨髓单核细胞白血病中的病毒感染:患病率及临床意义
J Pediatr Hematol Oncol. 2004 Oct;26(10):636-641. doi: 10.1097/01.mph.0000140653.50344.5c.
2
A review of blood diseases and cytopenias associated with human parvovirus B19 infection.人类细小病毒 B19 感染相关血液疾病和细胞减少症的综述。
Rev Med Virol. 2015 Jul;25(4):224-40. doi: 10.1002/rmv.1839. Epub 2015 May 11.
3
Beyond the definitions of the phenotypic complications of sickle cell disease: an update on management.
超越镰状细胞病表型并发症的定义:管理更新
ScientificWorldJournal. 2012;2012:949535. doi: 10.1100/2012/949535. Epub 2012 Aug 1.
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Parvovirus B19 infection mimicking juvenile myelomonocytic leukemia.微小病毒B19感染酷似青少年型骨髓单核细胞白血病。
Int J Infect Dis. 2010 Sep;14 Suppl 3:e379-80. doi: 10.1016/j.ijid.2010.04.004. Epub 2010 Jul 6.
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Definitions of the phenotypic manifestations of sickle cell disease.镰状细胞病表型表现的定义。
Am J Hematol. 2010 Jan;85(1):6-13. doi: 10.1002/ajh.21550.
6
Transient leukoerythroblastosis in a very low birth weight infant with parvovirus B19 infection.巨细胞病毒 B19 感染致极低出生体重儿一过性白细胞红细胞幼红细胞增多症。
Int J Infect Dis. 2009 Nov;13(6):e473-5. doi: 10.1016/j.ijid.2009.01.002. Epub 2009 Mar 23.
7
Transient myeloproliferation mimicking JMML associated with parvovirus infection of infancy.与婴儿细小病毒感染相关的类似幼年型粒单核细胞白血病的短暂性骨髓增殖症。
Pediatr Blood Cancer. 2009 Mar;52(3):411-3. doi: 10.1002/pbc.21842.
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Parvovirus B19 infection in children with acute lymphoblastic leukemia is associated with cytopenia resulting in prolonged interruptions of chemotherapy.急性淋巴细胞白血病患儿感染细小病毒B19与血细胞减少有关,可导致化疗长期中断。
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