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我们最近见到一例神经性厌食患者证实有全血细胞减少,骨髓再生低下及显著的棘红细胞增多症。虽然这种发现的相互影响因素在神经性厌食曾有报告,但就我们所知,在主要血液学教科书中未见详细描述过,且在美国医学文献中未见报告。再者,我们进一步证实了在神经性厌食患者中,棘红细胞增多症与低水平β-蛋白有关。病例报告 -18岁女性于1975年因体重减轻及闭经而受检查,自那时以后一直诊断为神经性厌食。由于恶化的厌食及恶病质,她于一周前已住过他院。当时红细胞压积40％,白细胞计数3,400/cumm,细胞分类正常,未提及有红细胞异常的形态改变。
We recently saw an example of anorexia nervosa in patients with confirmed pancytopenia, low bone marrow regeneration and significant spina bifilocytosis. Although the interplay of this finding has been reported in anorexia nervosa, to the best of our knowledge it has not been described in detail in major hematology textbooks and has not been reported in the U.S. medical literature. Furthermore, we further confirm that in patients with anorexia nervosa, there is an association between the ailment and the low level of beta-protein. Case Report - A 18-year-old woman was examined for weight loss and amenorrhea in 1975 and has been diagnosed with anorexia nervosa ever since. She had been in his home a week ago due to deteriorating anorexia and cachexia. At that time, hematocrit 40%, white blood cell count 3,400 / cumm, normal cell classification, did not mention the abnormal morphological changes of erythrocytes.