RESUMO
The association of biliary atresia (BA) and idiopathic thrombocytopenic purpura (ITP) is extremely rare, with only 2 cases being reported in the literature. This report describes the very rare case of a 1-year-old boy with BA complicated with ITP after cholangitis and the successful steroid treatment of ITP. We review the literature on this type of relationship between BA and ITP and discuss the clinical features of this complication. Furthermore, the possible cause of the onset of ITP complicated with BA was explored in this report.
Assuntos
Atresia Biliar/complicações , Atresia Biliar/cirurgia , Púrpura Trombocitopênica Idiopática/complicações , Púrpura Trombocitopênica Idiopática/tratamento farmacológico , Atresia Biliar/diagnóstico , Colangite/complicações , Colangite/diagnóstico , Colangite/cirurgia , Diagnóstico Diferencial , Glucocorticoides/uso terapêutico , Humanos , Lactente , Transplante de Fígado , Masculino , Prednisolona/uso terapêutico , Púrpura Trombocitopênica Idiopática/diagnósticoRESUMO
Postoperative portal and splenic vein thrombosis (PSVT) is a rare but potentially fatal complication after abdominal surgery. We present 2 infants with PSVT after splenectomy and total colectomy, respectively, and also provide a review of the literature. We conclude that clinicians should consider that PSVT might occur after splenectomy for a huge splenomegaly or after a total colectomy for ulcerative colitis.
Assuntos
Colectomia/efeitos adversos , Veia Porta , Esplenectomia/efeitos adversos , Veia Esplênica , Trombose Venosa/etiologia , Adolescente , Colite Ulcerativa/fisiopatologia , Colite Ulcerativa/cirurgia , Humanos , Masculino , Veia Porta/diagnóstico por imagem , Mielofibrose Primária/cirurgia , Fatores de Risco , Veia Esplênica/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Trombose Venosa/diagnóstico por imagem , Trombose Venosa/epidemiologia , Trombose Venosa/fisiopatologiaRESUMO
This report describes the use of superparamagnetic iron oxide-enhanced magnetic resonance imaging to diagnose fibronodular hyperplasia of the liver in a 12-year-old girl.
Assuntos
Meios de Contraste , Espectroscopia de Ressonância de Spin Eletrônica/métodos , Hiperplasia Nodular Focal do Fígado/diagnóstico , Ferro , Imageamento por Ressonância Magnética/métodos , Óxidos , Dor Abdominal/etiologia , Algoritmos , Anemia Ferropriva/complicações , Administração de Caso , Criança , Meios de Contraste/farmacocinética , Dextranos , Diagnóstico Diferencial , Feminino , Óxido Ferroso-Férrico , Hiperplasia Nodular Focal do Fígado/complicações , Hiperplasia Nodular Focal do Fígado/diagnóstico por imagem , Hiperplasia Nodular Focal do Fígado/patologia , Hiperplasia Nodular Focal do Fígado/cirurgia , Hepatectomia/métodos , Humanos , Ferro/farmacocinética , Neoplasias Hepáticas/diagnóstico , Nanopartículas de Magnetita , Sistema Fagocitário Mononuclear/metabolismo , Óxidos/farmacocinética , Fagocitose , UltrassonografiaRESUMO
Wiskott-Aldrich syndrome (WAS) is caused by defects in the WAS protein (WASP) gene on the X chromosome. We previously reported that flow cytometric analysis of intracellular WASP expression (FCM-WASP) was useful in the diagnosis of WAS in patients and carriers. In this study, we applied FCM-WASP to evaluate the mixed chimera (MC) status of 12 WAS patients who underwent hematopoietic stem cell transplantation (HST). After HST, donor- and recipient-derived peripheral blood mononuclear cells (PBMCs) could be distinguished easily with this method, since the donor cells were WASP(bright), whereas the defective recipient cells were WASP(dim). Furthermore, with use of 2-color FCM-WASP, the MC status could be characterized by cell lineage. Six of the 12 patients with WAS were found to have MC status after HST, whereas others had complete chimera status. MC status was observed in every cell lineage examined. However, among PBMCs, recipient cells were most commonly observed in the monocyte population. Finally, to investigate the naive/memory status of donor and recipient T cells in these patients, 3-color FCM-WASP using anti-CD45RA or CD45RO was performed. We found that, in contrast to WASP(bright) T cells, most WASP(dim) T cells remained naive (CD45RA(+)/RO(-)) more than a year after HST. No imbalance in the ratio of naive to memory T cells was observed in WAS patients before HST. We conclude that FCM-WASP is a potentially useful method for clinical follow-up of WAS patients who have undergone HST. Our findings may also have important implications for the role of WASP during hematopoietic development.