ACCESSORY SPLEEN IN RECURRENT CHRONIC IMMUNE THROMBOCYTOPENIC PURPURA

被引:61
作者
FACON, T
CAULIER, MT
FENAUX, P
PLANTIER, I
MARCHANDISE, X
RIBET, M
JOUET, JP
BAUTERS, F
机构
[1] CHU LILLE,SERV MALAD SANG,F-59037 LILLE,FRANCE
[2] CHU LILLE,SERV CHIRURG,F-59037 LILLE,FRANCE
[3] CHU LILLE,SERV MED NUCL,F-59037 LILLE,FRANCE
关键词
CHRONIC IMMUNE THROMBOCYTOPENIC PURPURA; ACCESSORY SPLEEN; PLATELET KINETIC STUDY;
D O I
10.1002/ajh.2830410308
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
From 1969 to 1985 we discovered accessory spleens in 8 patients with chronic immune thrombocytopenic purpura (ITP) who relapsed or failed after splenectomy. Imaging of accessory spleen used a liver spleen scintigraphy with heat-treated RBC labeled with Tc-99m. Platelet kinetic studies with Cr-51 or In-111, including sequestration index, were performed. Five patients had accessory splenectomy. Disappearance of bleeding symptoms was achieved in the 5 splenectomized patients but with only partial response of platelet counts. These results are discussed in the context of diagnosis and therapeutic management of accessory spleens in patients with chronic immune thrombocytopenic purpura who relapsed or failed after splenectomy.
引用
收藏
页码:184 / 189
页数:6
相关论文
共 37 条
[21]   IDIOPATHIC THROMBOCYTOPENIC PURPURA OCCURRING IN A SUBJECT PREVIOUSLY SPLENECTOMIZED FOR TRAUMATIC SPLENIC RUPTURE - ROLE OF SPLENOSIS IN PATHOGENESIS OF THROMBOCYTOPENIA [J].
MAZUR, EM ;
FIELD, WW ;
CAHOW, CE ;
SCHIFFMAN, FJ ;
DUFFY, TP ;
FORGET, BG .
AMERICAN JOURNAL OF MEDICINE, 1978, 65 (05) :843-846
[22]   Accessory spleens - Their significance in essential thrombocytopenic purpura hemorrhagica [J].
Morrison, M ;
Lederer, M ;
Fradkin, WZ .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1928, 176 :672-681
[23]   SEQUESTRATION SITE OF PLATELETS IN IDIOPATHIC THROMBOCYTOPENIC PURPURA - ITS CORRELATION WITH RESULTS OF SPLENECTOMY [J].
NAJEAN, Y ;
ARDAILLOU, N .
BRITISH JOURNAL OF HAEMATOLOGY, 1971, 21 (02) :153-+
[24]   RECURRENCE OF THROMBOCYTOPENIA IN PATIENTS SPLENECTOMIZED FOR IDIOPATHIC THROMBOCYTOPENIC PURPURA [J].
PAWELSKI, S ;
KONOPKA, L ;
ZDZIECHOWSKA, H .
BLUT, 1981, 43 (06) :355-360
[25]   REEVALUATION OF THE ROLE OF AZATHIOPRINE IN THE TREATMENT OF ADULT CHRONIC IDIOPATHIC THROMBOCYTOPENIC PURPURA - A REPORT ON 53 CASES [J].
QUIQUANDON, I ;
FENAUX, P ;
CAULIER, MT ;
PAGNIEZ, D ;
HUART, JJ ;
BAUTERS, F .
BRITISH JOURNAL OF HAEMATOLOGY, 1990, 74 (02) :223-228
[26]  
ROSENTHAL N, 1951, J Mt Sinai Hosp N Y, V17, P1008
[28]  
SEZEUR A, 1990, PRESSE MED, V19, P1100
[29]   SPLENUNCULECTOMY IN RECURRENT THROMBOCYTOPENIA [J].
SPERO, JA ;
LEWIS, JH ;
HASIBA, U ;
GUMERMAN, LW .
ACTA HAEMATOLOGICA, 1976, 55 (06) :354-357
[30]   SONOGRAPHY OF THE ACCESSORY SPLEEN [J].
SUBRAMANYAM, BR ;
BALTHAZAR, EJ ;
HORII, SC .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1984, 143 (01) :47-49