Document Detail


Pulmonary embolism after snake bite in a child with Diamond-Blackfan anemia.
MedLine Citation:
PMID:  20881870     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Diamond-Blackfan anemia (DBA) is a rare, congenital, pure red blood cell aplasia owing to gene defects affecting the function of ribosomal proteins, essential for erythroid maturation. Iron overload is a serious complication of chronic transfusions, which may lead to cardiac toxicity and endothelial damage. We report a case of pulmonary embolism, observed after viper bite in a transfusion-dependent child with DBA without known inherited thrombophilic factors. Embolic events are uncommon after viper bites, which they usually cause consumption coagulopathy, resulting in hypocoagulable state. DBA has not been earlier correlated with thrombotic episodes. In our patient, we suggest an iron overload-induced hypercoagulability state, which in the presence of a procoagulant substance lead to the development of a thromboembolic event.
Authors:
Alexandros Makis; Antonis Kattamis; Vassilios Grammeniatis; Polyxeni Sihlimiri; Haralambos Kotsonis; Andreas Iliadis; Antigone Siamopoulou; Nikolaos Chaliasos
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric hematology/oncology     Volume:  33     ISSN:  1536-3678     ISO Abbreviation:  J. Pediatr. Hematol. Oncol.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-23     Completed Date:  2011-02-18     Revised Date:  2011-10-06    
Medline Journal Info:
Nlm Unique ID:  9505928     Medline TA:  J Pediatr Hematol Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  68-70     Citation Subset:  IM    
Affiliation:
Child Health Department, University of Ioannina Medical School, Ioannina, Greece. amakis@cc.uoi.gr
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / therapeutic use
Anemia, Diamond-Blackfan / complications*,  genetics,  therapy
Blood Transfusion, Autologous
Child
Erythrocyte Transfusion
Hematopoietic Stem Cell Transplantation
Humans
Iron Overload / complications,  genetics,  therapy
Male
Mutation
Pulmonary Embolism / complications*,  genetics,  therapy
Ribosomal Proteins / genetics,  metabolism
Snake Bites / complications*,  genetics,  therapy
Transplantation, Homologous
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Ribosomal Proteins

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