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Spur cell anemia related to alcoholic liver cirrhosis managed without liver transplantation: a case report and literature review
- Source :
- Clinical Journal of Gastroenterology
- Publication Year :
- 2019
-
Abstract
- Spur cell anemia is an acquired hemolytic anemia associated with liver cirrhosis and is characterized by the presence of increased large red blood cells, which are covered with spike-like projections that vary in width, length, and distribution. A 26-year-old man was referred to our hospital presenting with jaundice, lower limb edema, and dyspnea. The patient was subsequently diagnosed with spur cell anemia related to alcoholic liver cirrhosis. Spur cell anemia is an independent predictor of mortality in liver cirrhosis and has been associated with extremely poor prognosis. The most effective treatment for spur cell anemia is liver transplantation. As seen in the literature, the treatment of spur cell anemia without liver transplantation is quite challenging. This report highlights the importance of management and treatment strategies, including control of fluid retention, blood transfusion, plasma diafiltration, and administration of diuretics. Our treatment strategies might be useful in patients who are not candidate of liver transplantation or patients waiting for liver transplantation.
- Subjects :
- Adult
Liver Cirrhosis
Male
medicine.medical_specialty
Anemia, Hemolytic
Blood transfusion
Cirrhosis
medicine.medical_treatment
Case Report
Liver transplantation
Gastroenterology
03 medical and health sciences
0302 clinical medicine
Liver Cirrhosis, Alcoholic
Internal medicine
hemic and lymphatic diseases
Alcoholic liver cirrhosis
medicine
Humans
Plasma diafiltration
Acquired hemolytic anemia
business.industry
General Medicine
Jaundice
Hepatology
medicine.disease
Prognosis
Colorectal surgery
Liver Transplantation
Spur cell anemia
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
medicine.symptom
business
Abdominal surgery
Subjects
Details
- ISSN :
- 18657265
- Volume :
- 13
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Clinical journal of gastroenterology
- Accession number :
- edsair.doi.dedup.....c3410e543b51a830118f079c0e2c52cb