[Accessory spleens after splenectomy in a patient with common variable immunodeficiency]. / Rates accessoires après splénectomie pour thrombopénie immunologique chez un patient ayant un déficit immunitaire commun variable.
Rev Med Interne
; 31(1): 41-5, 2010 Jan.
Article
en Fr
| MEDLINE
| ID: mdl-19740575
ABSTRACT
INTRODUCTION:
Blood cells are mainly destroyed in the spleen during autoimmune cytopenia. Amongst the various therapeutic strategies, splenectomy is sometimes necessary during the disease course. However, splenosis or accessory spleens can account for autoimmune cytopenia relapse after initial splenectomy in these patients. CASE REPORT We report an 18-year-old male with common variable immunodeficiency who presented with immunological thrombocytopenia. Splenectomy allowed remission of cytopenia, but a relapse was attributed to splenosis, because Jolly bodies were absent on blood smear. Laparoscopic splenectomy of accessory spleens induced long term remission. A literature review is performed.CONCLUSION:
Fifteen to 20% of relapses of autoimmune cytopenia treated by splenectomy are related to accessory spleens. Ablation of accessory spleens can cure again the patients, including patients with accompanying common variable immunodeficiency.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Bazo
/
Esplenectomía
/
Trombocitopenia
/
Inmunodeficiencia Variable Común
Límite:
Adolescent
/
Humans
/
Male
Idioma:
Fr
Revista:
Rev Med Interne
Año:
2010
Tipo del documento:
Article
País de afiliación:
Francia