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肺与髓质型肺结核:成人埃文斯综合征的罕见病因

Pulmonary and Medullary Tuberculosis: An Uncommon Cause of Evans Syndrome in Adults.

作者信息

Hadri Halima, Delsa Hanane, Zouiten Yasmine, Khmou Mouna, Benchekroun Said

机构信息

Hematology, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health, Casablanca, MAR.

Hematology and Oncology, Research Unit, Mohammed VI Center for Research and Innovation, Rabat, MAR.

出版信息

Cureus. 2024 Nov 25;16(11):e74378. doi: 10.7759/cureus.74378. eCollection 2024 Nov.

Abstract

Evans syndrome (ES) is a rare syndrome characterised by the association of autoimmune idiopathic hemolytic anemia (AIHA) with immune thrombocytopenia (ITP) and, less commonly, autoimmune neutropenia (AIN). ES may be primary or secondary to some aetiology, including, exceptionally, tuberculosis. We describe a case of association between pulmonary and medullary tuberculosis and Evans syndrome with an effective response to antitubercular treatment and corticosteroids.

摘要

伊文斯综合征(ES)是一种罕见的综合征,其特征为自身免疫性特发性溶血性贫血(AIHA)与免疫性血小板减少症(ITP)相关联,较少见的情况下还与自身免疫性中性粒细胞减少症(AIN)相关联。ES 可能是原发性的,也可能继发于某些病因,包括极罕见的结核病。我们描述了一例肺和骨髓结核与伊文斯综合征相关联的病例,该病例对抗结核治疗和皮质类固醇治疗有有效反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d528/11669380/067ea543b1ec/cureus-0016-00000074378-i01.jpg

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