Extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta-thalassemia: a case report

Abstract Background Thalassemia is a type of congenital hemoglobinopathy that falls into the category of hemolytic anemias. Extramedullary hematopoiesis is a complication of this disease, which is a mechanism to compensate for chronic anemia in these patients, and imaging is the best diagnostic meth...

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Main Authors: Ali Hossein Samadi Takaldani, Nima Javanshir, Helia Honardoost, Mohammad Negaresh
Format: Article
Language:English
Published: BMC 2023-12-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-023-04257-6
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author Ali Hossein Samadi Takaldani
Nima Javanshir
Helia Honardoost
Mohammad Negaresh
author_facet Ali Hossein Samadi Takaldani
Nima Javanshir
Helia Honardoost
Mohammad Negaresh
author_sort Ali Hossein Samadi Takaldani
collection DOAJ
description Abstract Background Thalassemia is a type of congenital hemoglobinopathy that falls into the category of hemolytic anemias. Extramedullary hematopoiesis is a complication of this disease, which is a mechanism to compensate for chronic anemia in these patients, and imaging is the best diagnostic method. Case report In this report, a 36-year-old Caucasian female patient with intermediate beta thalassemia is presented who, at the time of referral, complained of exacerbated shortness of breath. Imaging showed diffuse expansion masses with soft tissue components in the ribs of both hemithoraxes, leading to the diagnosis of extramedullary hematopoiesis. Conclusion Extramedullary hematopoiesis in the ribs is an uncommon finding in patients with thalassemia and is a sign of the severity of the disease and a poor prognostic factor that might be preventable if blood transfusion begins at younger ages.
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spelling doaj.art-1fb36960d81641fe91d8a6b0cb531a282023-12-10T12:20:09ZengBMCJournal of Medical Case Reports1752-19472023-12-011711510.1186/s13256-023-04257-6Extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta-thalassemia: a case reportAli Hossein Samadi Takaldani0Nima Javanshir1Helia Honardoost2Mohammad Negaresh3Department of Internal Medicine (Pulmonology Division), School of Medicine, Emam Khomeini Hospital, Ardabil University of Medical SciencesFaculty of Medicine, School of Medicine, Ardabil University of Medical SciencesDepartment of Internal Medicine, School of Medicine, Ardabil University of Medical SciencesDepartment of Internal Medicine, School of Medicine, Ardabil University of Medical SciencesAbstract Background Thalassemia is a type of congenital hemoglobinopathy that falls into the category of hemolytic anemias. Extramedullary hematopoiesis is a complication of this disease, which is a mechanism to compensate for chronic anemia in these patients, and imaging is the best diagnostic method. Case report In this report, a 36-year-old Caucasian female patient with intermediate beta thalassemia is presented who, at the time of referral, complained of exacerbated shortness of breath. Imaging showed diffuse expansion masses with soft tissue components in the ribs of both hemithoraxes, leading to the diagnosis of extramedullary hematopoiesis. Conclusion Extramedullary hematopoiesis in the ribs is an uncommon finding in patients with thalassemia and is a sign of the severity of the disease and a poor prognostic factor that might be preventable if blood transfusion begins at younger ages.https://doi.org/10.1186/s13256-023-04257-6Extramedullary hematopoiesisIntermediate beta thalassemiaRibs
spellingShingle Ali Hossein Samadi Takaldani
Nima Javanshir
Helia Honardoost
Mohammad Negaresh
Extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta-thalassemia: a case report
Journal of Medical Case Reports
Extramedullary hematopoiesis
Intermediate beta thalassemia
Ribs
title Extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta-thalassemia: a case report
title_full Extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta-thalassemia: a case report
title_fullStr Extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta-thalassemia: a case report
title_full_unstemmed Extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta-thalassemia: a case report
title_short Extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta-thalassemia: a case report
title_sort extramedullary hematopoiesis in ribs and severe pulmonary hypertension disease following intermediate beta thalassemia a case report
topic Extramedullary hematopoiesis
Intermediate beta thalassemia
Ribs
url https://doi.org/10.1186/s13256-023-04257-6
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AT heliahonardoost extramedullaryhematopoiesisinribsandseverepulmonaryhypertensiondiseasefollowingintermediatebetathalassemiaacasereport
AT mohammadnegaresh extramedullaryhematopoiesisinribsandseverepulmonaryhypertensiondiseasefollowingintermediatebetathalassemiaacasereport