ABSTRACT
Sickle cell anemia is a severe disorder that rarely spares affected adults. We describe here a 32-year-old pregnant woman who presented her first lifetime symptoms of her disease during induction of labor at term. We therefore discuss the possible causes that may have triggered this inaugural crisis.
Subject(s)
Anemia, Sickle Cell/physiopathology , Labor, Obstetric , Pregnancy Complications, Hematologic , Adult , Anemia, Sickle Cell/blood , Anemia, Sickle Cell/therapy , Anesthesia, Epidural , Bone and Bones/physiopathology , Erythrocyte Transfusion , Female , Hematocrit , Hemoglobins/analysis , Humans , Oxytocin/therapeutic use , Pain , Parity , PregnancyABSTRACT
Aggressive fibromatosis of the breast is an uncommon benign disease. The clinical and X-Ray findings can simulate breast cancer. The diagnosis relies on histology. The typical feature of this disease is a locally aggressive but non metastasizing lesion with high recurrence rate. Treatment consists in wide excision. The role of radiation and drug therapy including antiestrogens has not been clearly established. Colonoscopy is indicated to research for an association with Gardner syndrome.