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Successful Innovative Minimal Invasive Splenectomy in a Child with Combined Congenital Immunodeficiency and Acquired Pancytopenia Secondary to Hypersplenism 创新微创脾切除术成功治疗先天性免疫缺陷和继发于脾功能亢进的获得性全血细胞减少症患儿
Pub Date : 2021-01-01 DOI: 10.12974/2312-5411.2021.08.5
Ramnik Patel, R. Patel, Dhaval Govani, F. Anthony
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引用次数: 0
The Relationship between Conditioning Regimen with Viral and Fungal Infections in Allogeneic Hematopoietic Stem Cell Transplantation 异基因造血干细胞移植中调理方案与病毒和真菌感染的关系
Pub Date : 2021-01-01 DOI: 10.12974/2312-5411.2021.08.6
Pamukçuoğlu Merve
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引用次数: 0
Evaluation of Beneficial Effects of Melilotus officinalis on Blood Profiles in iron Overloaded Sprague Dawley Rats Melilotus officinalis对铁负荷Sprague-Dawley大鼠血液剖面有益作用的评价
Pub Date : 2020-12-20 DOI: 10.12974/2312-5411.2020.07.5
N. A. Sheikh, S. Kosalge, T. R. Desai, A. Dewani, D. Mohale, A. Tripathi
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引用次数: 1
Acute Hepatitis B Progression to Chronicity - A Prospective Study at Tertiary Care Centre of Northeren India 急性乙型肝炎进展为慢性病——印度北部三级医疗中心的前瞻性研究
Pub Date : 2020-06-06 DOI: 10.12974/2312-5411.2020.07.4
P. Malhotra, V. Malhotra, Y. Sanwariya, I. Pahuja, A. Chugh, Akshay
Background: There are limited number of studies providing information regarding the progression of acute hepatitis B virus (HBV) infection to chronic phase.Aim: To determine the percentage of patients of acute hepatitis B who progressed to chronic hepatitis B stage.Methods: It was a prospective study over a period of four years in which total 409 confirmed acute hepatitis B patients were enrolled but out of them only three hundred and four, (221 men and 83 women, 06–82 years old) were followed regularly for at least six months or more, thus data pertaining to them was analyzed.Results: Out of total of 304 acute hepatitis B patients, 279 patients resolved and became Hepatitis B surface antigen (HbsAg) and Hepatitis B virus DNA negative whereas 25 patients went into chronic phase. No differences were found between groups with respect to age and sex. However, Serum Bilirubin, Serum amino transaminases, HbeAg and HBV DNA Quantitative levels were significantly lower in patients who progressed to chronic hepatitis stage.Conclusions: Around 91.78% of acute hepatitis B patients resolved but 8.22% progressed to Chronic hepatitis B stage The twenty five patients who progressed to chronic infection had mild hepatitis on comparison to 279 patients who resolved, thus suggesting that patients with mild acute hepatitis B infection may have a higher risk of progressing to chronic infection. 
背景:提供有关急性乙型肝炎病毒(HBV)感染进展到慢性期的信息的研究数量有限。目的:确定急性乙型肝炎患者发展到慢性乙型肝炎阶段的百分比。方法:这是一项为期四年的前瞻性研究,共有409名确诊的急性乙型肝炎患者入选,但其中只有304名患者(221名男性和83名女性,06~82岁)定期随访至少六个月或更长时间,因此分析了与他们相关的数据。结果:在304例急性乙型肝炎患者中,279例患者病情缓解,出现乙型肝炎表面抗原(HbsAg)和乙型肝炎病毒DNA阴性,25例患者进入慢性期。各组之间在年龄和性别方面没有发现差异。然而,进展到慢性肝炎阶段的患者的血清胆红素、血清氨基转氨酶、HbeAg和HBV DNA定量水平显著降低。结论:约91.78%的急性乙型肝炎患者病情缓解,但8.22%进展为慢性乙型肝炎。与279名病情缓解的患者相比,25名进展为慢性感染的患者患有轻度肝炎,这表明轻度急性乙型肝炎感染的患者可能有更高的发展为慢性感染风险。
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引用次数: 0
Skeletal Involvement in Multiple Myeloma: The Radiological Point of View 多发性骨髓瘤的骨骼受累:放射学角度
Pub Date : 2019-03-08 DOI: 10.12974/2312-5411.2019.06.2
G. Cicero
Multiple myeloma is one of the most common hematologic malignancies.Bone marrow is typically involved and characterization of osseous lesions, in terms of number, size and localization, is necessary for disease staging and post-treatment assessment.Different imaging modalities can be performed in multiple myeloma evaluation, with a consequential number of information achievable.The aim of this work is to provide a general overview of multiple myeloma radiological findings detectable at X-ray, CT-scan and MRI, with relative advantages and drawbacks for each technique. 
多发性骨髓瘤是最常见的血液系统恶性肿瘤之一。骨性病变通常涉及骨髓,在数量、大小和定位方面对疾病分期和治疗后评估是必要的。不同的成像方式可用于多发性骨髓瘤的评估,并可获得相应数量的信息。这项工作的目的是提供多发性骨髓瘤的x射线,ct扫描和MRI检测的放射学发现的总体概述,与相对的优点和缺点,为每一个技术。
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引用次数: 0
Genetic Disorders Affecting Equine Blood Cells and Coagulation Factors: A-State-of-The-Art Review 影响马血细胞和凝血因子的遗传疾病:最新进展综述
Pub Date : 2019-03-08 DOI: 10.12974/2312-5411.2019.06.1
K. Satué, A. Muñoz
Genetic diseases that affect blood cells and clotting factors in the horse are uncommon. Unfortunately, the prognosis is reserved, because the treatment in many cases is only symptomatic and when it fails, euthanasia of the patient is the only viable option. The detection of carriers is of pivotal importance in order to prevent the spread of these disorders in the equine population. This manuscript reviews the current state of knowledge of genetic diseases that affect red blood cells, leukocytes, platelets and clotting factors in the horse.The genetic diseases that affect equine red blood cells are defects in the activity of enzymes and cofactors involved in erythrocytes metabolism, such as glucose 6 phosphate dehydrogenase, flavin adenine dinucleotide, glutathione reductase and glutathione. Therefore, their deficiency triggers methemoglobinemia and hemolytic anemia. Genetic disorders affecting granulocytes are rare in horses, but a Pelget-Hüet anomaly has been reported. Primary immunodeficiencies described in horses and arising from defects in the immune system are severe combined immunodeficiency, X-linked agammaglobulinemia and Fell pony immunodeficiency syndrome. Because of the immunodeficiency, foals usually develop fatal infections during the first weeks or months of life, caused for opportunistic organisms. Prognosis of these animals is poor. The most common genetic defect of platelet is Glanzmann thrombasthenia, which results in prolonged bleeding time and hematoma formation. Spontaneous bleeding or impaired hemostasis after trauma or surgery are clinical findings in types 1 and 2 von Willebrand disease. Hemophilia A, resulting from a decreased activity of coagulation factor VIII has also been described in male horses of different breeds, being the most common genetic disorder affecting coagulation factor in the horse. Prekallikrein deficit, although described in some horses, is a rare genetic coagulation factor deficiency. 
影响马血细胞和凝血因子的遗传疾病并不常见。不幸的是,预后是保留的,因为在许多情况下,治疗只是有症状的,当治疗失败时,对患者进行安乐死是唯一可行的选择。为了防止这些疾病在马群中传播,检测携带者至关重要。本文综述了影响马红细胞、白细胞、血小板和凝血因子的遗传疾病的知识现状。影响马红细胞的遗传性疾病是参与红细胞代谢的酶和辅因子活性缺陷,如葡萄糖6磷酸脱氢酶、黄素腺嘌呤二核苷酸、谷胱甘肽还原酶和谷胱甘肽。因此,它们的缺乏会引发高铁血红蛋白血症和溶血性贫血。影响粒细胞的遗传疾病在马身上很少见,但据报道有Pelget-Hüet异常。在马身上描述的由免疫系统缺陷引起的原发性免疫缺陷是严重的联合免疫缺陷、X连锁无丙种球蛋白血症和Fell-pony免疫缺陷综合征。由于免疫缺陷,小马驹通常在生命的最初几周或几个月内发生致命的感染,这是由机会性生物体引起的。这些动物的预后很差。血小板最常见的遗传缺陷是Glanzmann血栓衰弱,导致出血时间延长和血肿形成。创伤或手术后自发性出血或止血受损是1型和2型von Willebrand病的临床表现。血友病A是由凝血因子VIII活性降低引起的,在不同品种的公马中也有报道,它是影响马凝血因子的最常见的遗传疾病。前激肽释放酶缺乏,尽管在一些马身上有描述,但却是一种罕见的遗传性凝血因子缺乏。
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引用次数: 0
Severe Bacterial and Plasmodium Falciparum Infections in Febrile Children with Sickle Cell Disease Receiving Organized Specialty Care in a Referral Center in Sub-Saharan Africa: lessons for Clinical Practice 在撒哈拉以南非洲转诊中心接受有组织的专科护理的镰状细胞病发热儿童的严重细菌和恶性疟原虫感染:临床实践的经验教训
Pub Date : 2019-03-08 DOI: 10.12974/2312-5411.2019.06.3
D. Diallo, Mohamed Ag Baraïka, A. Guindo, I. Kéita, R. Charrel, M. Coulibaly, M. Kanta, Assétou Traoré, Y. Sarro, B. A. Touré, O. Tessougué, P. Guindo, Y. Badiaga, A. K. Dembélé, Drissa Diabaté, D. Raoult
The burden of severe bacterial and malaria infections in children with SCD has been reduced through the use of prophylactic antibiotics and chemoprevention with Sulfadoxine-pyrimethamine. However, such therapies have the potential to promote bacterial and parasitic resistance. To our knowledge, no study has been conducted to determine whether systematic use of prophylactic antimicrobials in children with SCD has an impact on resistance patterns in sub-Saharan Africa. The aim of our study was to determine the incidence and the outcome of severe bacterial and P. falciparum infections in this context. 231 children with SCD and new onset fever associated with either acute pneumonia, urinary tract infection, cholecystitis, meningitis, acute osteomyelitis, or P. falciparum infections were entered into the study. The children in the cohort were an average age of 93 months (± 44 months) and were all followed in a referral center in Western Africa. The 231 children represented 36.67% of the patients regularly followed in the center during the study period and included 183 SS, 26 SC, 12 S?°thal, 10 S?+thal. There were 144 boys and 87 girls in the cohort. The incidence of severe bacterial and Plasmodium falciparum infections were lower than those reported in the general pediatric or sickle cell population in the absence of regular follow-up (ie 5.2, 1.4, 1.0 and, 4.1 per 1000 person/month for urinary tract infections, acute pneumonia, bacteremia and P. falciparum malaria respectively). We observed bacterial strains to be mainly in the Enterobacteria family with high levels of antibiotic resistance. No cases of Streptococcus pneumoniae bacteremia were found. Sulfadoxine-pyrimethamine resistance was observed at high levels. In light of these findings, prophylactic antibiotherapy and antimalarial chemoprevention guidelines in sickle-cell children should be revisited in the context of organized SCD care in sub-Saharan Africa. 
通过使用预防性抗生素和磺胺多辛-乙胺嘧啶化学预防,严重细菌和疟疾感染患儿的负担已经减轻。然而,这种疗法有可能促进细菌和寄生虫的耐药性。据我们所知,目前还没有研究确定在撒哈拉以南非洲地区SCD儿童中系统使用预防性抗微生物药物是否会对耐药性模式产生影响。我们研究的目的是确定在这种情况下严重细菌和恶性疟原虫感染的发生率和结果。231名患有SCD并伴有急性肺炎、尿路感染、胆囊炎、脑膜炎、急性骨髓炎或恶性疟原虫感染的新发发热的儿童被纳入研究。队列中的儿童平均年龄为93个月(±44个月),均在西非的转诊中心进行随访。231名儿童占研究期间在中心定期随访的患者的36.67%,包括183名SS, 26名SC, 12名S?°thal, 10s ?+thal。该队列中有144名男孩和87名女孩。在没有定期随访的情况下,严重细菌和恶性疟原虫感染的发生率低于一般儿科或镰状细胞人群(即尿路感染、急性肺炎、菌血症和恶性疟原虫分别为5.2、1.4、1.0和4.1 / 1000人/月)。我们观察到的细菌菌株主要属于肠杆菌家族,具有高水平的抗生素耐药性。未发现肺炎链球菌菌血症病例。观察到高水平的磺胺多辛-乙胺嘧啶耐药性。鉴于这些发现,在撒哈拉以南非洲有组织的SCD护理的背景下,镰状细胞儿童的预防性抗生素治疗和抗疟疾化学预防指南应该重新审视。
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引用次数: 0
Inflammatory Pseudotumor of the Spleen in a Patient with Idiopathic Thrombocytopenic Purpura 一例特发性血小板减少性紫癜患者的脾脏炎症性假瘤
Pub Date : 2018-12-23 DOI: 10.12974/2312-5411.2018.05.1
G. Elpek
{"title":"Inflammatory Pseudotumor of the Spleen in a Patient with Idiopathic Thrombocytopenic Purpura","authors":"G. Elpek","doi":"10.12974/2312-5411.2018.05.1","DOIUrl":"https://doi.org/10.12974/2312-5411.2018.05.1","url":null,"abstract":"","PeriodicalId":91541,"journal":{"name":"Journal of hematology research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43906251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High Sensitivity Quantitative Allele Specific RHOA G17V PCR for Diagnosis, Staging and Minimal Residual Disease Assessment in Angioimmunoblastic T-Cell Lymphoma 高灵敏度定量等位基因特异性RHOA G17V PCR用于血管免疫母细胞t细胞淋巴瘤的诊断、分期和最小残留疾病评估
Pub Date : 2018-12-23 DOI: 10.12974/2312-5411.2018.05.2
Y. Sidorova
{"title":"High Sensitivity Quantitative Allele Specific RHOA G17V PCR for Diagnosis, Staging and Minimal Residual Disease Assessment in Angioimmunoblastic T-Cell Lymphoma","authors":"Y. Sidorova","doi":"10.12974/2312-5411.2018.05.2","DOIUrl":"https://doi.org/10.12974/2312-5411.2018.05.2","url":null,"abstract":"","PeriodicalId":91541,"journal":{"name":"Journal of hematology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41879409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hepatitis B Infection in Pregnancy-Experience at a Tertiary Care Centre of North India 妊娠期乙型肝炎感染——印度北部三级保健中心的经验
Pub Date : 2017-02-27 DOI: 10.12974/2312-5411.2017.04.5
V. Malhotra, P. Malhotra, Vandana Bhuriya, I. Pahuja, S. Nanda, M. Chauhan, N. Sangwan
Objectives: To investigate the Seroprevalence of hepatitis B surface antigen in pregnant women and managing chronic HBV infection in pregnant women for preventing mother to child transmission.Methods: Fifteen thousand pregnant women were evaluated using history, examination and test for serum HbsAg and who were found to be HbsAg positive underwent liver function tests, HbeAg and HBV DNA analysis by Polymerase Chain Reaction (PCR).Results: out of fifteen thousand (15000) women, 52 women tested positive for HbsAg. Of these, 8(15.38%) presented with acute hepatitis and 44(84.6%) were asymptomatic carriers. The highest HbsAg positivity was seen in age group of 20-25 years and maximum women were multiparous (67.23%). Assessment of risk factors revealed history of tattooing in 22 women (42.3%). Out of 52 women, 12 patients tested positive for HbeAg and their DNA tires were more than one Lakh copies/ml. Forty six women(88.4%) delivered vaginally and rest 6(11.5%) underwent cesarean section which was mainly done for obstetric indications. All the babies born received immunoglobulin and first dose of HBV vaccine within 12 hours of birth.Conclusion: Seroprevalence of HbsAg in antenatal women was found to be 0.34%. 
目的:了解孕妇乙型肝炎表面抗原的血清流行情况,并管理孕妇慢性乙型肝炎病毒感染,预防母婴传播。方法:对1万5千名孕妇进行病史、检查和血清HbsAg检测,对发现HbsAg阳性的孕妇进行肝功能检测、HbeAg和HBVDNA聚合酶链式反应(PCR)分析。其中8例(15.38%)为急性肝炎,44例(84.6%)为无症状携带者。HbsAg阳性率最高的是20-25岁年龄组,多胎女性最多(67.23%)。风险因素评估显示22名女性(42.3%)有纹身史。在52名女性中,12名患者的HbeAg检测呈阳性,她们的DNA轮胎超过10万拷贝/ml。46名妇女(88.4%)通过阴道分娩,其余6名妇女(11.5%)接受了剖宫产手术,这主要是为了适应产科需要。所有出生的婴儿都在出生后12小时内接种了免疫球蛋白和第一剂乙肝疫苗。结论:产前妇女血清HbsAg阳性率为0.34%。
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引用次数: 1
期刊
Journal of hematology research
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