The rheumatologic complications of hematologic disorders.
The rheumatologic complications of hematologic disorders.
复制标题
血液系统疾病的风湿病并发症。
DOI：
10.1016/0049-0172(83)90015-x
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发表时间：
1983
影响因子：
5
通讯作者：
Shoenfeld,Y
中科院分区：
文献类型：
--
作者：
Isenberg,DA;Shoenfeld,Y
A woman aged 45 yr presented to the hospital with a l-month history of intermittent fever, general malaise and arthralgia affecting both hands and wrists. Examination showed a minor degree of splenic enlargement but no other convincing signs. Baseline investigations included an erythrocyte sedimentation rate of 112 mm/hr, total white blood cell count of 18,000/mm3 (90% of which were neutrophils), and a platelet count of 500,000/mm3. It was not possible at this stage to determine more than that the patient’s primary disorder might be a rheumatologic or hematologic one. This sort of conundrum is not uncommon, and there are a number of conditions which may require combined hematologic and rheumatologic evaluation. Rheumatologists frequently perform regular hematologic assessments on their patients, notably to ensure that drug therapy is not having adverse side-effects. In addition anemia, leucopenia, and thrombocytopenia are recognized as part of the disease process in such conditions as systemic lupus erythematosus(SLE), rheumatoid arthritis (RA), and Felty syndrome.’There are also diseases usually considered to be hematologic in origin which have recognized musculoskeletal presenting features or complications. Much relevant work has been published in the last few years which complements the reviews published previously.“,’This review will summarize these earlier reports, but will concentrate mainly on recent studies. In addition, we will examine the serologic overlaps shared by some of the leukemias, lymphomas, and myelomas with
