A case of successful management with splenectomy of intractable ascites due to congenital dyserythropoietic anemia type II-induced cirrhosis.
The congenital dyserythropoietic anemias comprise a group of rare hereditary disorders of erythropoiesis, characterized by ineffective erythropoiesis as the predominant mechanism of anemia and by characteristic morphological aberrations of the majority of erythroblasts in the bone marrow. Congenital dyserythropoietic anemia type II is the most frequent type. All types of congenital dyserythropoietic anemias distinctly share a high incidence of iron loading. Iron accumulation occurs even in untransfused patients and can result in heart failure and liver cirrhosis. We have reported about a patient who presented with liver cirrhosis and intractable ascites caused by congenital dyserythropoietic anemia type II. Her clinical course was further complicated by the development of autoimmune hemolytic anemia. Splenectomy was eventually performed which achieved complete resolution of ascites, increase of hemoglobin concentration and abrogation of transfusion requirements.
Vassiliadis
Themistoklis
T
2nd Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece.
Garipidou
Vassilia
V
Perifanis
Vassilios
V
Tziomalos
Konstantinos
K
Giouleme
Olga
O
Patsiaoura
Kalliopi
K
Avramidis
Michalis
M
Nikolaidis
Nikolaos
N
Vakalopoulou
Sofia
S
Tsitouridis
Ioannis
I
Antoniadis
Antonios
A
Semertzidis
Panagiotis
P
Kioumi
Anna
A
Premetis
Evangelos
E
Eugenidis
Nikolaos
N
D000742:Anemia, Dyserythropoietic, Congenital / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications; D001201:Ascites / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000209:etiology / Q000473:pathology; D008875:Middle Aged; D013156:Splenectomy