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Rev. méd. Chile ; 139(9): 1192-1195, set. 2011. ilus
Article Dans Espagnol | LILACS | ID: lil-612244

Résumé

Drepanocytic anemia is an uncommon hereditary disease in Chile. The heterozygous state of drepanocytic anemia or "sickle trait" has a frequency of 8 percent among Afro-Americans. A small number of patients carrying hemoglobin S are homozygous, with clinical manifestations of hemolytic anemia and thrombotic disease. Sickle trait is usually asymptomatic. We report a 59-year-old male who presented an acute abdominal pain and dyspnea while staying at high altitude. Six days later, an angio CAT scan showed the presence of a subcapsular splenic hematoma that was managed conservatively. Sickle cell induction with sodium metabisulphite was positive. Hemoglobin electrophoresis confirmed the sickle trait.


Sujets)
Humains , Mâle , Adulte d'âge moyen , Altitude , Mal de l'altitude/étiologie , Hématome/étiologie , Trait drépanocytaire/complications , Maladies de la rate/étiologie , Douleur abdominale/étiologie ,
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