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蚕豆病:一例病例报告。

Favism: A Case Report.

作者信息

Diegues Andreia, Simões Pedro, Ceriz Tiago, Lopes Ana Rita, Tomé Elisa

机构信息

Internal Medicine Department, Unidade local de Saúde do Nordeste, Bragança, PRT.

Internal Medicine Department, Unidade Local de Saúde do Nordeste, Bragança, PRT.

出版信息

Cureus. 2022 Mar 17;14(3):e23269. doi: 10.7759/cureus.23269. eCollection 2022 Mar.

Abstract

Favism is an acute hemolytic syndrome that occurs in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency following the ingestion of fava beans. Diagnosis can be challenging because the severity of hemolytic anemia varies among this patient population. Furthermore, the severity of hemolytic episodes can vary in the same patient. The diagnosis of G6PD deficiency and patient education pertaining to safe and unsafe medications and foods are crucial to prevent the reoccurrence of hemolytic episodes. Here, we report the case of a man admitted to our hospital with an acute hemolytic episode. At the time of admission, we were unaware that he had ingested fava beans and only discovered that he had G6PD deficiency while performing complementary studies during the hemolytic crisis to determine its etiology.

摘要

蚕豆病是一种急性溶血性综合征,发生于葡萄糖-6-磷酸脱氢酶(G6PD)缺乏的患者在食用蚕豆之后。诊断可能具有挑战性,因为溶血性贫血的严重程度在这类患者群体中各不相同。此外,溶血性发作的严重程度在同一患者身上也可能有所不同。诊断G6PD缺乏并对患者进行有关安全和不安全药物及食物的教育对于预防溶血性发作的复发至关重要。在此,我们报告一例因急性溶血性发作入院的男性病例。入院时,我们并不知道他食用了蚕豆,只是在溶血性危机期间进行补充检查以确定病因时才发现他患有G6PD缺乏症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0577/9013287/70be057d059f/cureus-0014-00000023269-i01.jpg

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