Evans综合征合并周期性血小板减少症一例报告

• 作 者: 贺敬贤 钱江虹 李惠芳 金春丽
• 机 构: 德清县第一人民医院内科,德清县第一人民医院内科,德清县第一人民医院内科,德清县第一人民医院外科
• 出 处: 浙江医学
• 发表日期: 1986年01期
• 关键词: 瘀点 乏力症状 经量 大便常规检查 巨核细胞 黄疽 幼红细胞 巩膜轻度黄染 抗人球蛋白试验 红细胞系统增生

周期性血小板减少症在临床上少见,我院遇到1例Evans 综合征合并周期性血小板减少症,特报告如下:唐×,女,37岁,因头晕、乏力,两下肢瘀点近2年、症状加重伴发热3天,于1983年8月25日入院。1981年12月始自感乏力、纳差、头晕,双下肢出现瘀点,月经量明显增多,在某医院诊断为自身免疫性溶血性贫血合并血小板减少性紫癜,间歇服用强的松后,头晕、乏力症状好转,但月经量仍增多,有时双下肢出现瘀点。3天前感头晕、乏力加重,四肢出现瘀点伴发热。平素身体健康,未服过避孕药。

Cyclical thrombocytopenia in clinical rare, I Evans syndrome encountered in our hospital with recurrent thrombocytopenia, the special report is as follows: Tang ×, female, 37 years old, due to dizziness, fatigue, lower limb petechia nearly 2 years , The symptoms aggravated with fever for 3 days and was admitted on August 25, 1983. December 1981 from the beginning of fatigue, anorexia, dizziness, both lower extremities petechia, menstrual volume increased significantly, in a hospital diagnosis of autoimmune hemolytic anemia with thrombocytopenic purpura, intermittent use of prednisone, dizziness , Fatigue symptoms improved, but the menstrual volume is still increased, and sometimes petechial lower limbs. 3 days ago, dizziness, fatigue increased, petechiae appear with fever. Usually healthy, not contraceptives.