Acute Anaemia: A Challenging Diagnosis

Costa, Rui and Faria, Catarina Araújo and Nunes, Catarina Sofia and Ferreira, Filipa and Cunha, Rui and Sousa, Inês Egídio and Ferreira, Inês (2018) Acute Anaemia: A Challenging Diagnosis. European Journal of Case Reports in Internal Medicine, 5 (9). ISSN 2284-2594

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Acute anaemia is characterized by a reduction in the number of red blood cells, haemoglobin levels or haematocrit. By far the most common aetiology is haemorrhage, but in its absence other less frequent causes should be considered. The authors present the case of a 42-year-old man with a diagnosis of glucose-6-phosphate deficiency and progressing gastric signet ring cell carcinoma, who was admitted to the internal medicine department for symptomatic back pain control. During his hospitalization, the patient developed acute anaemia with schistocytes on peripheral blood smear with no concurrent hyperbilirubinaemia or decreased haptoglobin. Bone metastatic disease was documented. The case was revised with the transfusion medicine department and malignancy-associated microangiopathic haemolytic anaemia (Ma-MAHA) was suggested. The patient was transferred to the oncology department and later discharged, dying at home shortly afterwards.

Item Type: Article
Uncontrolled Keywords: Acute anaemia, paraneoplastic syndrome, schistocytes, thrombotic microangiopathies
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Greta Di Blasio
Date Deposited: 11 Jun 2019 10:48
Last Modified: 11 Jun 2019 10:48

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