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[特发性和症状性嗜酸性粒细胞增多综合征(基于14例病例的比较特征)]

[Idiopathic and symptomatic hypereosinophilic syndromes (their comparative characteristics based on 14 cases)].

作者信息

Khoroshko N D, Mokeeva R A, Turkina A G, Semenova E A, Pivnik A V

出版信息

Ter Arkh. 1997;69(7):26-33.

PMID:9424754
Abstract

Clinical, hematological, cytogenetic and pathohistological findings in 14 patients with high eosinophilia allowed the authors to distinguish 2 groups of patients: with symptomatic (secondary) and idiopathic hypereosinophilic syndromes (6 and 8 patients, respectively). The latter was characterized by hepato- and splenomegaly, specific cardiac lesion (thromboplastic endocarditis), non-infectious fever, anemia and thrombocytopenia, marked hypercellularity of the bone marrow with inhibition of erythro- and megakaryocytopoiesis. Ph'-chromosome occurred in 2 out of 8 cases. Biopsy and autopsy histology in all cases of idiopathic hypereosinophilic syndrome were typical for myeloproliferative diseases. In symptomatic hypereosinophilic syndrome the above features were not registered.

摘要

对14例嗜酸性粒细胞增多症患者的临床、血液学、细胞遗传学和病理组织学检查结果进行分析,作者将患者分为两组:症状性(继发性)和特发性嗜酸性粒细胞增多综合征(分别为6例和8例)。后者的特征为肝脾肿大、特异性心脏病变(血栓形成性心内膜炎)、非感染性发热、贫血和血小板减少,骨髓明显细胞增多伴红系和巨核系造血受抑制。8例中有2例出现Ph'染色体。所有特发性嗜酸性粒细胞增多综合征病例的活检和尸检组织学表现均为骨髓增殖性疾病的典型表现。在症状性嗜酸性粒细胞增多综合征中未发现上述特征。

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