Korean J Hematol 2009; 44(4):
Published online December 30, 2009
https://doi.org/10.5045/kjh.2009.44.4.298
© The Korean Society of Hematology
박예민, 박지니, 조윤정, 김세현, 신권철, 원인식, 심선진, 조은경, 신동복, 이재훈
가천의과대학교 길병원 내과
We report a case of prolonged extreme reactive thrombocytosis in a post-splenectomy patient with hereditary spherocytosis. A 29-year-old female patient presented with gall stones detected incidentally by abdominal ultrasonography. Her laboratory findings showed hemolytic anemia with spherocytosis on the peripheral blood smear and increased osmotic fragility. She was diagnosed with hereditary spherocytosis and underwent a laparoscopic cholecystectomy and splenectomy. After undergoing surgery, the hemolytic anemia was resolved but thrombocytosis was newly detected. Nineteen months after the splenectomy, the thrombocytosis was still persistent and extremely high. To our knowledge, this is the first report of a prolonged extreme reactive thrombocytosis after a splenectomy in Korea. (Korean J Hematol 2009;44:298-303.)
Keywords Reactive thrombocytosis, Postsplenectomy, Hereditary spherocytosis
Korean J Hematol 2009; 44(4): 298-303
Published online December 30, 2009 https://doi.org/10.5045/kjh.2009.44.4.298
Copyright © The Korean Society of Hematology.
박예민, 박지니, 조윤정, 김세현, 신권철, 원인식, 심선진, 조은경, 신동복, 이재훈
가천의과대학교 길병원 내과
Yae Min Park, Jinny Park, Yunjeong Jo, Sei Hyun Kim, Kwen Chul Shin, In Sik Won, Sun Jin Sym, Eun Kyung Cho, Dong Bok Shin, Jae Hoon Lee
Department of Internal Medicine, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea
We report a case of prolonged extreme reactive thrombocytosis in a post-splenectomy patient with hereditary spherocytosis. A 29-year-old female patient presented with gall stones detected incidentally by abdominal ultrasonography. Her laboratory findings showed hemolytic anemia with spherocytosis on the peripheral blood smear and increased osmotic fragility. She was diagnosed with hereditary spherocytosis and underwent a laparoscopic cholecystectomy and splenectomy. After undergoing surgery, the hemolytic anemia was resolved but thrombocytosis was newly detected. Nineteen months after the splenectomy, the thrombocytosis was still persistent and extremely high. To our knowledge, this is the first report of a prolonged extreme reactive thrombocytosis after a splenectomy in Korea. (Korean J Hematol 2009;44:298-303.)
Keywords: Reactive thrombocytosis, Postsplenectomy, Hereditary spherocytosis
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