Failure of partial splenectomy to ameliorate the anemia of pyruvate kinase deficiency

The authors report a case of pyruvate kinase deficiency in a 4-year-old patient who required monthly blood transfusions. A partial splenectomy was performed to decrease the transfusion requirements and at the same time preserve splenic function. After removal of 80% of splenic tissue there was no am...

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Veröffentlicht in:Journal of pediatric surgery 1997-04, Vol.32 (4), p.641-642
Hauptverfasser: Sandoval, Claudio, Stringel, Gustavo, Weisberger, James, Jayabose, Somasundaram
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container_title Journal of pediatric surgery
container_volume 32
creator Sandoval, Claudio
Stringel, Gustavo
Weisberger, James
Jayabose, Somasundaram
description The authors report a case of pyruvate kinase deficiency in a 4-year-old patient who required monthly blood transfusions. A partial splenectomy was performed to decrease the transfusion requirements and at the same time preserve splenic function. After removal of 80% of splenic tissue there was no amelioration of her transfusion needs. She responded well to subsequent total splenectomy performed 6 months later, and is currently well and transfusion independent. Rapid splenic regeneration possibly caused by erythrophagocytosis and extramedullary hematopoiesis is the presumed reason for this patient's failure to respond to partial splenectomy.
doi_str_mv 10.1016/S0022-3468(97)90729-6
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subjects Anemia, Hemolytic - etiology
Anemia, Hemolytic - therapy
Biological and medical sciences
Blood Transfusion
Carbohydrates (enzymatic deficiencies). Glycogenosis
Child, Preschool
Errors of metabolism
Female
Humans
Medical sciences
Metabolic diseases
Pyruvate Kinase - deficiency
Regeneration
Spleen - physiology
Splenectomy - methods
Treatment Failure
title Failure of partial splenectomy to ameliorate the anemia of pyruvate kinase deficiency
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