Terapevticheskii arkhivTerapevticheskii arkhivТерапевтический архив0040-36602309-5342LLC Obyedinennaya Redaktsiya3221110.17116/terarkh201789178-81Editorial articleПередовая статьяShort CommunicationAutoimmune hemolytic anemia associated with mesenteric teratomaАутоиммунная гемолитическая анемия, ассоциированная с тератомой брыжейки тонкой кишкиNtanishyanK IДанишянК ИSabirovK RСабировК РShcherbakovaO VЩербаковаО ВVybornykhD EВыборныхД ЭShupletsovaI AШуплецоваИ АTsvetaevaN VЦветаеваН ВГематологический научный центр Минздрава России15012017891VOL 89, NO1 ()ТОМ 89, №1 (2017)788110042020Copyright ©; 2017, Consilium MedicumCopyright ©; 2017, ООО "Консилиум Медикум"2017Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://ter-arkhiv.ru/0040-3660/article/view/32211

The paper describes a case of autoimmune hemolytic anemia (AIHA) in a 27-year-old woman whose examination revealed mesenteric teratoma. AIHA was characterized by a hypertensive crisis and a temporary response to corticosteroid therapy that was complicated by the development of somatogenic psychosis and discontinued. A relapse of hemolysis developed 6 months later. The patient underwent laparoscopic splenectomy and removal of mesenteric root teratoma. Immediately after surgery, a hematological response was obtained as relief of hemolysis and restoration of a normal hemoglobin level. There is a sustained remission of AIHA for the next 16 months.

Аннотация Представлен случай аутоиммунной гемолитической анемии (АИГА) у 27-летней женщины, при обследовании которой выявлена опухоль брыжейки тонкой кишки. АИГА имела кризовое течение с временным ответом на терапию кортикостероидами (КС), которая осложнилась развитием соматогенного психоза и была прервана. Спустя 6 мес развился рецидив гемолиза. Пациентке выполнили лапароскопическую спленэктомию и удаление тератомы корня брыжейки тонкой кишки. Непосредственно после операции получен гематологический ответ в виде купирования гемолиза и восстановления нормального содержания гемоглобина. Ремиссия АИГА сохраняется последующие 16 мес.

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