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获得性血管性血友病综合征作为产生单克隆IgM的非霍奇金B细胞淋巴瘤的首发表现

Acquired Von Willebrand Syndrome as a Presenting Manifestation of Monoclonal IgM-Producing Non-Hodgkin's B-cell Lymphoma.

作者信息

Rahman Nur, Lobo Aaron, Gates Amy

机构信息

Internal Medicine, Bridgeport Hospital/Yale New Haven Health, Bridgeport, USA.

Hematology/Oncology, Bridgeport Hospital/Yale New Haven Health, Bridgeport, USA.

出版信息

Cureus. 2024 Nov 17;16(11):e73867. doi: 10.7759/cureus.73867. eCollection 2024 Nov.

Abstract

Acquired von Willebrand syndrome (aVWS) is a rare hematological disorder depicted by dysfunctional or deficient von Willebrand factor activity and can be associated with underlying hematological malignancies such as non-Hodgkins lymphoma (NHL). This case report examines a patient with aVWS secondary to NHL and highlights the challenges in managing bleeding and optimizing a patient for surgery. The case report will explore the multidisciplinary approach to recognizing aVWS, treatment modalities, and adjunctive measures to reduce bleeding risk as well as long-term management.

摘要

获得性血管性血友病综合征(aVWS)是一种罕见的血液系统疾病,其特征为血管性血友病因子活性功能失调或缺乏,并且可能与潜在的血液系统恶性肿瘤如非霍奇金淋巴瘤(NHL)相关。本病例报告研究了一名继发于NHL的aVWS患者,并强调了在处理出血以及使患者手术准备达到最佳状态方面所面临的挑战。该病例报告将探讨识别aVWS的多学科方法、治疗方式、降低出血风险的辅助措施以及长期管理。

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