[Microangiopathic hemolytic anemia. A form of presentation of stomach neoplasm].
The authors report the case of a 53-year-old female with symptomatic anemia and hemorrhagic diathesis. The patient presented thrombocytopenia, microangiopathic hemolytic anemia and leukoerythroblastic reaction in peripheral blood film. The diagnosis of metastatic gastric carcinoma was made by subsequent studies. A review is made of the literature concerning microangiopathic hemolytic anemia, namely its etiology, mechanisms of pathogenesis and association with metastatic carcinoma.
Serviço de Medicina I, Hospital de Santa Maria, Lisboa.
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Oliveira
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Frazão
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Duarte
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Nogueira
D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis / Q000556:secondary*; D000743:Anemia, Hemolytic / Q000175:diagnosis / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D009382:Neoplasms, Unknown Primary / Q000150:complications* / Q000175:diagnosis; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000556:secondary*; D013921:Thrombocytopenia / Q000175:diagnosis / Q000209:etiology
Anemia hemolítica microangiopática. Uma forma de apresentação de neoplasia do estômago.