Hyposplenism, an underrecognised immune diffeciency: Is sonography helpful?

被引:1
作者
Alhyari, Amjad [1 ,2 ]
Geisler, Lisa [2 ]
Eilsberger, Friederike [3 ]
Dietrich, Christoph F. [4 ]
Findeisen, Hajo [2 ]
Trenker, Corinna [5 ]
Goerg, Christian [1 ,2 ]
Zadeh, Ehsan Safai [1 ,2 ]
机构
[1] Univ Giessen & Marburg Standort Marburg, Klin Gastroenterol Endokrinol Stoffwechsel & klin, Marburg, Germany
[2] Univ Giessen & Marburg Standort Marburg, Interdisziplinares Ultraschallzentrum, Marburg, Germany
[3] Univ Klinikum Giessen & Marburg Standort Marburg, Klin Nuklearmed, Marburg, Germany
[4] Allgemeine Innere Med DAIM Kliniken Beau Site Sal, Kliniken Hirslanden Beau Site Salem & Permanence, Bern, Switzerland
[5] Univ Giessen & Marburg Standort, Hamatol Onkol Immunol, Marburg, Germany
来源
ZEITSCHRIFT FUR GASTROENTEROLOGIE | 2023年 / 61卷 / 07期
关键词
hyposplenism; asplenia; ultrasound; spleen; Howell-Jolly bodies; HOWELL-JOLLY BODIES; CONTRAST-ENHANCED ULTRASOUND; MEMORY B-CELLS; SPLENIC FUNCTION; FORGOTTEN ORGAN; SPLEEN SIZE; CELIAC SPRUE; POSTSPLENECTOMY; PREVENTION; GUIDELINES;
D O I
10.1055/a-1901-9569
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The immunodeficiency syndrome of functional hyposplenia/asplenia is frequently unrecognized. The gold standard procedure for the diagnosis of this disease is technetium-99m scintigraphy of heat-denatured erythrocytes and the detection of pitted erythrocytes or Howell-Jolly bodies. Initial work suggests that this clinical presentation is associated with a small spleen. The aim of this review is to describe the value of B-mode and contrast-enhanced ultrasound in the identification of immunodeficiency caused by functional hyposplenism.
引用
收藏
页码:852 / 861
页数:10
相关论文
共 72 条
  • [1] Celiac sprue and malignancies: Analysis of risks and prevention strategies
    Allgayer, Hubert
    Dietrich, Christoph F.
    [J]. MEDIZINISCHE KLINIK, 2008, 103 (08) : 561 - 568
  • [2] Image-based modeling and scoring of Howell-Jolly Bodies in human erythrocytes
    Angay, Oguzhan
    Friedrich, Mike
    Pinnecker, Juergen
    Hintzsche, Henning
    Stopper, Helga
    Hempel, Klaus
    Heinze, Katrin G.
    [J]. CYTOMETRY PART A, 2018, 93A (03) : 305 - 313
  • [3] Aust G, 2017, DUALE REIHE ANATOMIE, V182, P193
  • [4] Differential diagnosis between splenic nodules and peritoneal metastases with contrast-enhanced ultrasound based on signal-intensity characteristics during the late phase
    Bertolotto, M.
    Quaia, E.
    Zappetti, R.
    Cester, G.
    Turoldo, A.
    [J]. RADIOLOGIA MEDICA, 2009, 114 (01): : 42 - 51
  • [5] Asplenia Syndrome in a Neonate: A Case Report
    Bhalla, Kapil
    Singh, Jasbir
    Yadav, Jaivinder
    Mehra, Suchi
    [J]. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016, 10 (06) : SD5 - SD6
  • [6] FATAL OVERWHELMING POSTSPLENECTOMY INFECTION
    CHAIKOF, EL
    MCCABE, CJ
    [J]. AMERICAN JOURNAL OF SURGERY, 1985, 149 (04) : 534 - 539
  • [7] CORAZZA GR, 1990, CLIN LAB HAEMATOL, V12, P269
  • [8] RETURN OF SPLENIC FUNCTION AFTER SPLENECTOMY - HOW MUCH TISSUE IS NEEDED
    CORAZZA, GR
    TAROZZI, C
    VAIRA, D
    FRISONI, M
    GASBARRINI, G
    [J]. BRITISH MEDICAL JOURNAL, 1984, 289 (6449) : 861 - 864
  • [9] Update of guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen
    Davies, JM
    Barnes, R
    Milligan, D
    [J]. CLINICAL MEDICINE, 2002, 2 (05) : 440 - 443
  • [10] Assessment of splenic function
    de Porto, A. P. N. A.
    Lammers, A. J. J.
    Bennink, R. J.
    ten Berge, I. J. M.
    Speelman, P.
    Hoekstra, J. B. L.
    [J]. EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 2010, 29 (12) : 1465 - 1473