Severe mixed-type iron overload in alcoholic cirrhosis related to advanced spur cell anemia
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چکیده
منابع مشابه
Severe mixed-type iron overload in alcoholic cirrhosis related to advanced spur cell anemia.
A 60-year-old patient with a history of alcoholic cirrhosis (Child-Pugh score C), diabetes mellitus and ongoing alcohol intake presented to the emergency departed with hypoxemic dyspnoea in the presence of ascites and peripheral edema. Laboratory data indicated acute renal insufficiency with preserved natriuresis (creatinine 3.7 mg/dL, normal 0.71.2; urea 117 mg/dL, normal 10-50; 24 h urine sod...
متن کاملSpur cell anemia associated with alcoholic cirrhosis.
A 56-year-old woman was admitted to our hospital with jaundice, massive ascites, hepatic encephalopathy and an intramuscular hematoma. She had severe liver dysfunction with a total bilirubin level of 9.0 mg/dL, indirect bilirubin level of 6.9 mg/dL, albumin level of 2.8 g/dL and prothrombin ratio of 43%. Her hemoglobin level was 6.8 g/dL, and a peripheral blood smear showed the presence of a la...
متن کاملEducation and imaging. Hepatobiliary and pancreatic: spur cell anemia associated with alcoholic cirrhosis.
A 47-year-old man was admitted to hospital with jaundice and ascites. Cirrhosis was attributed to alcohol abuse as his alcohol intake had been high for at least 10 years. Prior to admission, he had ceased drinking alcohol and had been treated with diuretics and pentoxifylline. Blood tests revealed an elevated plasma bilirubin (11 mg/dL or 187 mmol/l), a mild elevation of alkaline phosphatase (1...
متن کاملReversibility of spur cell anemia.
A diagnosis of spur cell anemia was made. Spur cell anemia is found in end-stage alcoholic liver disease. The morphologic changes of spur cells are caused by accumulation of excess membrane cholesterol, leading to an impaired deformability and consequently a reduced red cell survival. The prognosis of patients with spur cell anemia is poor, with a median survival of a few months. Liver transpla...
متن کاملAn unusual cause of anemia in cirrhosis: spur cell anemia, a case report with review of literature
Chronic anemia is common in liver cirrhosis. In this setting, the pathogenesis of anemia is complex and multifactorial. Spur cell anemia is a serious disorder in cirrhotic patients and is associated with poor prognosis. Liver transplantation constitutes the only therapeutic tool. We report a case with severe spur cell anemia in alcoholic liver cirrhosis. In the attempt to investigate the origin...
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ژورنال
عنوان ژورنال: Annals of Hepatology
سال: 2014
ISSN: 1665-2681
DOI: 10.1016/s1665-2681(19)30871-3