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Massive hemothorax due to intrathoracic extramedullary hematopoiesis in a patient with hereditary spherocytosis

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Abstract

 Extramedullary hematopoiesis (EMH) is a rare disorder, characterized by the appearance of hematopoietic elements outside of the bone marrow, which occurs in patients with chronic myeloproliferative disorders or congenital hemolytic anemias. We report on a 64-year-old man with hereditary spherocytosis, who presented with anemia, jaundice, intrathoracic EMH, and massive hemothorax. The diagnosis of EMH was established after computer tomography (CT)-guided punctuation of the paravertebral mass. The patient underwent splenectomy and thoracic drainage. After 1 year, the patient is in good health, with normal hemoglobin values, and hemothorax has not recurred.

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Authors and Affiliations

  1. Second Department of Internal Medicine-Propaedeutic, Evangelismos Hospital, University of Athens, Ipsilantou 45–47, 10676 Athens, Greece e-mail: nxiros@otenet.gr Tel.: +30-1-7201062 Fax: +30-1-7211635, , , , , , GR

    N. Xiros, T. Economopoulos, E. Papageorgiou, G. Mantzios & S. Raptis

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  1. N. Xiros
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  2. T. Economopoulos
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  3. E. Papageorgiou
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  4. G. Mantzios
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  5. S. Raptis
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Received: 23 December 1999 / Accepted: 31 May 2000

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Xiros, N., Economopoulos, T., Papageorgiou, E. et al. Massive hemothorax due to intrathoracic extramedullary hematopoiesis in a patient with hereditary spherocytosis. Ann Hematol 80, 38–40 (2001). https://doi.org/10.1007/s002770000222

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  • DOI: https://doi.org/10.1007/s002770000222

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