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| Format: | Artículo científico |
| Sprache: | en |
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Hospital Universitário da Universidade de São Paulo
2020
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| Online-Zugang: | https://www.redalyc.org/articulo.oa?id=576065838012 https://www.redalyc.org/journal/5760/576065838012/ https://www.redalyc.org/journal/5760/576065838012/html/ https://www.redalyc.org/journal/5760/576065838012/576065838012.epub https://www.redalyc.org/journal/5760/576065838012/movil |
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Inhaltsangabe:
- Disseminated cryptococcosis and hemochromatosis: clues to diagnosis Larry Nichols Lindsey Rowley Ashley Lall Medicina Autopsy Hepatitis Cryptococcosis Hemochromatosis Hepatic cirrhosis, diabetes mellitus and iron overload can each independently predispose to cryptococcosis. Hereditary hemochromatosis leads to all three of these predispositions. This report is the case of a patient with chronic hepatitis B virus infection and cirrhosis, who had markedly elevated serum ferritin and 99% transferrin saturation, and developed a leukemoid reaction. Autopsy revealed disseminated cryptococcosis for which the leukemoid reaction was a clue and possible hereditary hemochromatosis of which elevated ferritin and transferrin saturation can be clues. Hereditary hemochromatosis is an important diagnosis clinicians should never miss because early treatment with phlebotomy can be life-saving. Disseminated cryptococcosis can be rapidly diagnosed with serum cryptococcal antigen test and is treatable. 2020 otro 2236-1960 https://www.redalyc.org/articulo.oa?id=576065838012 https://www.redalyc.org/journal/5760/576065838012/ https://www.redalyc.org/journal/5760/576065838012/html/ https://www.redalyc.org/journal/5760/576065838012/576065838012.epub https://www.redalyc.org/journal/5760/576065838012/movil 10.4322/acr.2020.180 en http://www.redalyc.org/revista.oa?id=5760 Autopsy and Case Reports application/pdf Hospital Universitário da Universidade de São Paulo Autopsy and Case Reports (Brasil) Num.3 Vol.10