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恶性贫血:复发性脑静脉血栓形成的病因。

Pernicious anaemia: cause of recurrent cerebral venous thrombosis.

机构信息

Department of Medicine, Baroda Medical College, Vadodara, Gujarat, India

Baroda Medical College, Vadodara, Gujarat, India.

出版信息

BMJ Case Rep. 2021 May 10;14(5):e239833. doi: 10.1136/bcr-2020-239833.

Abstract

This case of recurrent cerebral venous thrombosis (CVT) highlights hyperhomocysteinemia in pernicious anemia due to vitamin B deficiency. No other risk factors such as trauma, infections, coagulation disorders or autoimmune diseases were present. The patient was cured with vitamin B and anticoagulation therapy. So, it is worthwhile and important to investigate levels of vitamin B and homocysteine in CVT.

摘要

本病例为复发性脑静脉血栓形成(CVT),提示因维生素 B12 缺乏导致的恶性贫血伴高同型半胱氨酸血症。无创伤、感染、凝血障碍或自身免疫性疾病等其他危险因素。患者经维生素 B12 和抗凝治疗后痊愈。因此,对 CVT 患者进行维生素 B12 和同型半胱氨酸水平的检测是值得且重要的。

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本文引用的文献

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Guidelines on the investigation and management of venous thrombosis at unusual sites.特殊部位静脉血栓形成的调查与处理指南
Br J Haematol. 2012 Oct;159(1):28-38. doi: 10.1111/j.1365-2141.2012.09249.x. Epub 2012 Aug 9.

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