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一例成人T细胞淋巴母细胞白血病患者在培门冬酶诱导的高甘油三酯血症情况下发生假性低钠血症的病例。

A Case of Pseudohyponatremia in the Setting of Pegaspargase-Induced Hypertriglyceridemia in an Adult T-Cell Lymphoblastic Leukemia Patient.

作者信息

Ahmad Asim, Joseph Matthew

机构信息

Cancer, and Texas College of Osteopathic Medicine, The Center for Cancer and Blood Disorders, Fort Worth, Texas, USA.

Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA.

出版信息

Case Rep Hematol. 2024 Dec 29;2024:7154679. doi: 10.1155/crh/7154679. eCollection 2024.

Abstract

We present a rare case of pseudohyponatremia in a 20-year-old male patient with adult T-cell acute lymphoblastic leukemia (ATLL). The patient was admitted for a mediastinal mass with superior vena cava syndrome and was receiving pegaspargase therapy. The pseudohyponatremia was found to be secondary to hypertriglyceridemia associated with the pegaspargase treatment. In this case report, we discuss the important considerations in the management of adult ATLL patients receiving pegaspargase therapy, and the specific approaches taken to care for the patient described in this case.

摘要

我们报告了一例罕见的假性低钠血症病例,患者为一名20岁男性,患有成人T细胞急性淋巴细胞白血病(ATLL)。该患者因纵隔肿块伴上腔静脉综合征入院,正在接受培门冬酶治疗。发现假性低钠血症继发于与培门冬酶治疗相关的高甘油三酯血症。在本病例报告中,我们讨论了接受培门冬酶治疗的成人ATLL患者管理中的重要注意事项,以及针对本病例中所述患者采取的具体护理方法。

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