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多发性骨髓坏死与弥散性血管内凝血。

Multiple bone marrow necrosis and disseminated intravascular coagulation.

作者信息

Harigaya K, Watanabe S, Watanabe Y, Kageyama K, Nakazawa K

出版信息

Arch Pathol Lab Med. 1977 Dec;101(12):652-4.

PMID:579307
Abstract

Pancytopenia and disseminated intravascular coagulation (DIC) developed in a 62-year-old woman. Scattered granulomatous nodules in the bone marrow, composed of numerous eosinophilic concentric spherules with amorphous eosinophilic deposits and reticulin fibrosis between them, resulted in the destruction of the bone marrow architecture. These rare morphologic appearances in the bone marrow may have been caused by lipogranulomatosis and multiple bone marrow infarctions, which were subsequent developments to DIC. Such a process is believed to have induced a lethal secondary hypoplastic anemia.

摘要

一名62岁女性出现全血细胞减少和弥散性血管内凝血(DIC)。骨髓中散在的肉芽肿性结节由大量嗜酸性同心球组成,球内有非晶形嗜酸性沉积物,其间有网状纤维组织增生,导致骨髓结构破坏。骨髓中这些罕见的形态学表现可能是由脂肪肉芽肿病和多发性骨髓梗死引起的,它们是DIC的后续发展。据信这样的过程诱发了致命的继发性再生障碍性贫血。

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引用本文的文献

1
Massive bone marrow necrosis and postnecrotic myelofibrosis in a patient with primary thrombocythaemia.一名原发性血小板增多症患者出现大量骨髓坏死及坏死后骨髓纤维化。
J Clin Pathol. 1994 Jul;47(7):674-6. doi: 10.1136/jcp.47.7.674.
2
Widespread marrow necrosis during pregnancy.
Skeletal Radiol. 1982;9(1):37-40. doi: 10.1007/BF00367379.
3
Adult hemolytic-uremic syndrome and bone marrow necrosis.成人溶血尿毒综合征与骨髓坏死。
West J Med. 1984 Nov;141(5):680-1.
4
Bone marrow necrosis and disseminated intravascular coagulation in disseminated carcinoma.播散性癌中的骨髓坏死和弥散性血管内凝血
J R Soc Med. 1992 May;85(5):301-2. doi: 10.1177/014107689208500523.