慢性肠病患者可逆转铁蛋白血症:转铁蛋白是铁运输必需的吗?

IF 3.8 3区医学 Q1 MEDICAL LABORATORY TECHNOLOGY Biochemia Medica Pub Date : 2023-02-15 DOI:10.11613/BM.2023.010801

Alexandre Raynor, Carmen Stefanescu, Arnaud Bruneel, Hervé Puy, Katell Peoc'h, Hana Manceau

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引用次数: 1

摘要

在此，我们报告一名42岁的女性，在法国三级医院住院治疗慢性肠病复发，入院时发现血清转铁蛋白未检出。令人惊讶的是，她只表现出轻度贫血。这种转移铁血症在住院期间持续了两个月，在此期间她的血红蛋白浓度基本保持稳定。根据她的临床病史和病情发展，我们认为她是继发于慢性营养不良、炎症和肝功能衰竭的获得性转铁蛋白血症。我们讨论了在该患者中进行的调查，以及关于她的血红蛋白浓度相对稳定性的假设，尽管没有检测到转铁蛋白。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Reversible atransferrinemia in a patient with chronic enteropathy: is transferrin mandatory for iron transport?

Herein, we report the case of a 42-year-old woman, hospitalized in a French tertiary hospital for a relapse of a chronic enteropathy, who was found on admission to have no detectable serum transferrin. Surprisingly, she only exhibited mild anaemia. This atransferrinemia persisted for two months throughout her hospitalization, during which her haemoglobin concentration remained broadly stable. Based on her clinical history and evolution, we concluded to an acquired atransferrinemia secondary to chronic undernutrition, inflammation and liver failure. We discuss the investigations performed in this patient, and hypotheses regarding the relative stability of her haemoglobin concentration despite the absence of detectable transferrin.

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来源期刊

Biochemia Medica 医学-医学实验技术

CiteScore

5.50

自引率

3.00%

发文量

审稿时长

>12 weeks

期刊介绍： Biochemia Medica is the official peer-reviewed journal of the Croatian Society of Medical Biochemistry and Laboratory Medicine. Journal provides a wide coverage of research in all aspects of clinical chemistry and laboratory medicine. Following categories fit into the scope of the Journal: general clinical chemistry, haematology and haemostasis, molecular diagnostics and endocrinology. Development, validation and verification of analytical techniques and methods applicable to clinical chemistry and laboratory medicine are welcome as well as studies dealing with laboratory organization, automation and quality control. Journal publishes on a regular basis educative preanalytical case reports (Preanalytical mysteries), articles dealing with applied biostatistics (Lessons in biostatistics) and research integrity (Research integrity corner).