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风湿性疾病患者的血液学表现。

Hematological Manifestations among Patients with Rheumatic Diseases.

机构信息

Department of Internal Medicine C, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel,

Institute of Rheumatology, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel.

出版信息

Acta Haematol. 2021;144(4):403-412. doi: 10.1159/000511759. Epub 2020 Nov 20.

Abstract

BACKGROUND

Rheumatic diseases have many hematological manifestations. Blood dyscrasias and other hematological abnormalities are sometimes the first sign of rheumatic disease. In addition, novel antirheumatic biological agents may cause cytopenias.

SUMMARY

The aim of this review was to discuss cytopenias caused by systemic lupus erythematosus and antirheumatic drugs, Felty's syndrome in rheumatoid arthritis, and autoimmune hemolytic anemia, thrombosis, and thrombotic microangiopathies related to rheumatological conditions such as catastrophic antiphospholipid syndrome and scleroderma renal crisis. Key Message: The differential diagnosis of various hematological disorders should include rheumatic autoimmune diseases among other causes of blood cell and hemostasis abnormalities. It is crucial that hematologists be aware of these presentations so that they are diagnosed and treated in a timely manner.

摘要

背景

风湿性疾病有许多血液学表现。血液系统疾病和其他血液学异常有时是风湿性疾病的第一个迹象。此外,新型抗风湿生物制剂可能会导致血细胞减少。

摘要

本文旨在讨论由系统性红斑狼疮和抗风湿药物、类风湿关节炎中的 Felty 综合征以及与风湿性疾病相关的自身免疫性溶血性贫血、血栓形成和血栓性微血管病(如灾难性抗磷脂综合征和硬皮病肾危象)引起的血细胞减少症。

关键信息

各种血液系统疾病的鉴别诊断应包括风湿性自身免疫性疾病,以及血细胞和止血异常的其他原因。血液科医生必须意识到这些表现,以便及时进行诊断和治疗。

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