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Medicina interna de México
versão impressa ISSN 0186-4866
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BEDON-GALARZA, Ricardo; CARRERO, Julián; CONDO-GUATO, Alexandra e ABAD-SOJOS, Andrea. Paroxysmal nocturnal hemoglobinuria and hepatic abscess: A little frequent association. Med. interna Méx. [online]. 2019, vol.35, n.5, pp.802-806. Epub 30-Set-2021. ISSN 0186-4866. https://doi.org/10.24245/mim.v35i5.2614.
Paroxysmal nocturnal hemoglobinuria is an acquired disorder of hematopoietic stem cells characterized by episodes of intravascular hemolysis. Although it is a rare disease, it mostly affects young adults, regardless of sex. We present the case of a 32-year-old man with acute symptoms of paleness, jaundice, hemoglobinuria and pain in the right hypochondrium. The study of flow cytometry of bone marrow reported the absence of CD55 and CD59 markers, diagnostic indicators of nocturnal paroxysmal hemoglobinuria in addition to a hypodense tomographic image in the liver compatible with abscess. In the medical literature, this is the first case in which the coexistence of these two medical conditions is described.
Palavras-chave : Paroxysmal nocturnal hemoglobinuria; Hepatic abscess; Hemolytic anemia.