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铜缺乏症:全血细胞减少的罕见但可纠正病因——文献复习。

Copper deficiency, a rare but correctable cause of pancytopenia: a review of literature.

机构信息

Department of Hematology and Oncology, Kaiser Permanente, San Francisco, CA, USA.

Department of Internal Medicine, Zucker School of Medicine, Hofstra/Northwell, Mather Hospital, Port Jefferson, NY, USA.

出版信息

Expert Rev Hematol. 2022 Nov;15(11):999-1008. doi: 10.1080/17474086.2022.2142113. Epub 2022 Nov 14.

Abstract

INTRODUCTION

Copper is increasingly being recognized as a vital mineral required by both animals and humans. It plays a vital role in many metabolic processes such as cellular respiration, iron oxidation, and hemoglobin synthesis. Copper deficiency, which can be hereditary or acquired, can lead to a wide spectrum of disease processes such as ringed sideroblastic anemia, myelodysplasia, and pancytopenia. Timely identification and management of copper deficiency is necessary to prevent irreversible complications.

AREAS COVERED

Our study focuses on prevalence, etiology, pathophysiology, complications, and treatment of copper deficiency.

EXPERT OPINION

Copper deficiency is frequently underrecognized as the cause of anemia, neutropenia, and bone marrow dysplasia. As it is potentially treatable, it should always be kept in the differentials when patients present with neurological and hematological abnormalities.

摘要

简介

铜作为一种动物和人类必需的重要矿物质,其重要性正日益得到认可。它在许多代谢过程中发挥着重要作用,如细胞呼吸、铁氧化和血红蛋白合成。铜缺乏既可以是遗传性的,也可以是获得性的,可导致广泛的疾病过程,如环形铁幼粒细胞性难治性贫血、骨髓增生异常和全血细胞减少症。及时识别和管理铜缺乏症对于预防不可逆转的并发症是必要的。

涵盖领域

我们的研究集中在铜缺乏症的患病率、病因、病理生理学、并发症和治疗。

专家意见

铜缺乏症常被低估为贫血、中性粒细胞减少症和骨髓增生异常的原因。由于它是可以治疗的,因此当患者出现神经和血液学异常时,应始终将其纳入鉴别诊断。

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