[Pancytopenia, haemolytic anaemia, schistocytes: a frequent pathology mimicking a rare and serious pathology]

Autor: M, Monti, G, Canellini, L, Trueb, A, Cairoli, O, Lamy
Jazyk: francouzština
Rok vydání: 2005
Předmět:
Zdroj: Praxis. 94(1-2)
ISSN: 1661-8157
Popis: A 83 years old woman presents to our hospital with fatigue and dyspnea since 2 weeks, followed by a painless icterus. On laboratory we discover a pancytopenia with severe haemolytic anaemia, thrombopenia and schistocytosis. This association suggest a thrombotic microangiopathy. In the presence of macrocytes, hypersegmented neutrophils and a low reticulocytes count, a vitamin screening was performed witch leads to the discovery of a vitamin B12 and folic acid deficiency. After initiation of a vitamin therapy we observe a reticulocytic crisis and thereafter the normalisation of the haematological parameters.
Databáze: OpenAIRE