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继发性红细胞增多症可能是多发性骨髓瘤的早期临床表现:一例报告

Secondary Polycythemia May Be an Early Clinical Manifestation of Multiple Myeloma: A Case Report.

作者信息

Li XiaoLan, Li Min, Tian Juan, Shi Zi-Wei, Wang Ling-Zhi, Song Kui

机构信息

Department of Hematology, The First Affiliated Hospital of Jishou University, Jishou, Hunan, People's Republic of China.

Department of Pharmacy, The First Affiliated Hospital of Jishou University, Jishou, Hunan, People's Republic of China.

出版信息

J Blood Med. 2024 Jul 29;15:325-330. doi: 10.2147/JBM.S465827. eCollection 2024.

DOI:10.2147/JBM.S465827
PMID:39086399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11289518/
Abstract

Multiple myeloma (MM) is a malignancy of plasma cells that can cause anemia due to renal failure and bone marrow failure. Secondary polycythemia (SE) is a clinically rare disease that involves the overproduction of red blood cells. To our knowledge, the association of multiple myeloma and polycythemia has been reported, but the association of SE and multiple myeloma is rare and has been infrequently reported in literature. In contrast to anemia, the presence of polycythemia in multiple myeloma patients is a rare finding. A patient of IgA-λ multiple myeloma with secondary erythrocytosis recently admitted to our department is now reported as follows and relevant literature is reviewed to improve clinicians' awareness of such rare comorbidities.

摘要

多发性骨髓瘤(MM)是一种浆细胞恶性肿瘤,可因肾衰竭和骨髓衰竭导致贫血。继发性红细胞增多症(SE)是一种临床罕见疾病,涉及红细胞过度生成。据我们所知,多发性骨髓瘤与红细胞增多症的关联已有报道,但SE与多发性骨髓瘤的关联罕见,且文献中鲜有报道。与贫血相反,多发性骨髓瘤患者中出现红细胞增多症是一个罕见的发现。现将我院近期收治的1例IgA-λ型多发性骨髓瘤伴继发性红细胞增多症患者报告如下,并复习相关文献,以提高临床医生对这种罕见合并症的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/11289518/712efdf671d5/JBM-15-325-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/11289518/37f392366c7d/JBM-15-325-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/11289518/a31c15b4e59d/JBM-15-325-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/11289518/712efdf671d5/JBM-15-325-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/11289518/37f392366c7d/JBM-15-325-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/11289518/a31c15b4e59d/JBM-15-325-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b8/11289518/712efdf671d5/JBM-15-325-g0003.jpg

相似文献

1
Secondary Polycythemia May Be an Early Clinical Manifestation of Multiple Myeloma: A Case Report.继发性红细胞增多症可能是多发性骨髓瘤的早期临床表现:一例报告
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本文引用的文献

1
Diagnosis and Management of Multiple Myeloma: A Review.多发性骨髓瘤的诊断与治疗:综述
JAMA. 2022 Feb 1;327(5):464-477. doi: 10.1001/jama.2022.0003.
2
An unhealthy blush - secondary erythrocytosis due to waterpipe smoking.一种不健康的脸红——因抽水烟导致的继发性红细胞增多症。
Neth J Med. 2020 Jul;78(4):202-205.
3
Prevalence and Incidence of Multiple Myeloma in Urban Area in China: A National Population-Based Analysis.中国城市地区多发性骨髓瘤的患病率和发病率:一项基于全国人口的分析。
Front Oncol. 2020 Jan 24;9:1513. doi: 10.3389/fonc.2019.01513. eCollection 2019.
4
Mortality of lymphoma and myeloma in China, 2004-2017: an observational study.中国 2004-2017 年淋巴瘤和骨髓瘤的死亡率:一项观察性研究。
J Hematol Oncol. 2019 Mar 4;12(1):22. doi: 10.1186/s13045-019-0706-9.
5
[Differential Diagnosis of Erythrocytosis - Background and Clinical Relevance].[红细胞增多症的鉴别诊断 - 背景与临床相关性]
Dtsch Med Wochenschr. 2019 Jan;144(2):128-135. doi: 10.1055/a-0739-8340. Epub 2019 Jan 23.
6
Polycythaemia: an unusual presentation of multiple myeloma.真性红细胞增多症:多发性骨髓瘤的一种罕见表现。
BMJ Case Rep. 2016 Sep 20;2016:bcr2016216686. doi: 10.1136/bcr-2016-216686.
7
Erythrocytosis due to PHD2 Mutations: A Review of Clinical Presentation, Diagnosis, and Genetics.由PHD2突变引起的红细胞增多症:临床表现、诊断及遗传学综述
Case Rep Hematol. 2016;2016:6373706. doi: 10.1155/2016/6373706. Epub 2016 Feb 29.
8
The diagnosis and management of erythrocytosis.红细胞增多症的诊断与管理
BMJ. 2013 Nov 18;347:f6667. doi: 10.1136/bmj.f6667.
9
The TEMPI syndrome--a novel multisystem disease.TEMPI综合征——一种新型多系统疾病。
N Engl J Med. 2011 Aug 4;365(5):475-7. doi: 10.1056/NEJMc1106670.
10
JAK2 mutation-negative secondary erythrocytosis in smoldering plasma cell myeloma: a case study and review of the literature.冒烟型浆细胞骨髓瘤中JAK2突变阴性的继发性红细胞增多症:病例报告及文献复习
Acta Haematol. 2011;126(3):169-71. doi: 10.1159/000328996. Epub 2011 Jul 27.