真性红细胞增多症中的脾梗死并非总是一场灾难。
Splenic Infarctions in Polycythaemia Vera are Not Always a Catastrophe.
作者信息
Abdalla ELMustafa, Musa Muzamil, Musa Motwakil, Hatem Ahmed, Fadul Abdalla, Ahmed Ashraf Oe
机构信息
Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
出版信息
Eur J Case Rep Intern Med. 2022 Jun 29;9(6):003370. doi: 10.12890/2022_003370. eCollection 2022.
UNLABELLED
Splenic infarction can occur as an infrequent thrombotic manifestation in polycythaemia vera (PV) and is usually catastrophic. We describe the case of a middle-aged woman who was diagnosed with PV 3 months before she presented to the emergency department with acute limb ischaemia. A splenic infarction detected on diagnostic imaging during her hospital stay was treated conservatively with modification of her hydroxyurea dose along with pain management, without the need for surgery.
LEARNING POINTS
Multiple splenic infarctions are an uncommon presentation in polycythaemia vera.Patients can present with vague abdominal pain, so a high index of suspicion is necessary and diagnosis is usually radiological.Splenic infarction in polycythaemia patients can be treated successfully with hydroxyurea and pain management with aspirin.
未标注
脾梗死可作为真性红细胞增多症（PV）中一种罕见的血栓形成表现出现，通常具有灾难性。我们描述了一名中年女性的病例，她在因急性肢体缺血就诊于急诊科前3个月被诊断为PV。在她住院期间，诊断性影像学检查发现的脾梗死通过调整羟基脲剂量并进行疼痛管理进行保守治疗，无需手术。
学习要点
多发性脾梗死在真性红细胞增多症中是一种不常见的表现。患者可能表现为模糊的腹痛，因此需要高度怀疑，诊断通常依靠影像学检查。真性红细胞增多症患者的脾梗死可以通过羟基脲和阿司匹林进行疼痛管理成功治疗。
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