Приводится клинический случай диагностики серповидно-клеточной анемии у мужчины 53 лет с высоким ретикулоцитозом, бессимптомной язвой двенадцатиперстной кишки, выявленной при эзофагогастродуоденоскопии, острым нарушением мозгового кровообращения в относительно молодом возрасте. Обсуждаются вопросы диагностики и лечения.
The paper describes a clinical case of diagnosed sickle-cell anemia in a 53-year-old man with reticulocytosis, asymptomatic duodenal ulcer detected at esophagogastroduodenoscopy, and stroke at a relatively young age. The issues of diagnosis and treatment are discussed.
1. Воробьев А.И. Серповидноклеточная анемия. Руководство по гематологии. Под ред. А.И.Воробьева. М.: Медицина, 1985; 2: 86–9.
2. Окороков А.Н. Гемолитические анемии. В кн.: Диагностика болезней внутренних органов. М.: Медицинская литература, 2006; 4: 112–204.
3. Серповидноклеточная анемия и другие гемоглобинопатии. ВОЗ. Информационный бюллетень. 2011; с. 308.
4. Chang J, Patton JT, Sarkar A et al. GMI-1070, a novel pan-selectin antagonist, reverses acute vascular occlusions in sickle cell mice. Blood 2010; 116 (10): 1779–86.
5. Chase S, Thackray H, Magnani JL, Wun T. Inhibition of E-Selectin Inflammatory Function by the Glycomimetic GMI-1070. Blood (ASH Annual Meeting Abstracts) 2011; 118 (21): 851.
6. Charache et al. The effect of hydroxyurea on the frequency of painful crises in sickle cell anemia. N Engl J Med 1995; 332: 1317–22.
7. De Franceschi L, Cappellini MD, Olivieri O. Thrombosis and sickle cell disease. Semin Thromb Hemost 2011; 37 (3): 226–36.
8. Gutsaeva DR, Parkerson JB, Yerigenahally SD et al. Inhibition of cell adhesion by anti-P-selectin aptamer: a new potential therapeutic agent for sickle cell disease. Blood 2011; 117 (2): 727–35.
9. Haas Michael J. Two edges of sickle cell disease. Science–Business eXchange 2011; 4 (3): 3–5.
10. Hoppe C, Kuypers F, Larkin S et al. A pilot study of the short-term use of simvastatin in sickle cell disease: effects on markers of vascular dysfunction. Br J Haematol 2011; 153 (5): 655–63.
11. Kutlar A, Ataga KI, McMahon L et al. A potent oral P-selectin blocking agent improves microcirculatory blood flow and a marker of endothelial cell injury in patients with sickle cell disease. Am J Hematol 2012; 87 (5): 536–9.
12. Lee SP, Ataga KI, Zayed M et al. Phase I study of eptifibatide in patients with sickle cell anaemia. Br J Haematol 2007; 139 (4): 612–20.
13. Qari MH, Aljaouni SK, Alardawi MS et al. Reduction of painful vaso-occlusive crisis of sickle cell anaemia by tinzaparin in a double-blind randomized trial. Thromb Haemost 2007; 98 (2): 392–6.
14. Vichinsky E. Emerging ‘A’ therapies in hemoglobinopathies: agonists, antagonists, antioxidants, and arginine. ASH Education Book 2012; 1: 271–5.
15. Wallace KL, Linden J. Adenosine A2A receptors induced on iNKT and NK cells reduce pulmonary inflammation and injury in mice with sickle cell disease. Blood 2010; 166: 5010–20.
1 Кафедра госпитальной терапии №2 лечебного факультета ГБОУ ВПО Московский государственный медико-стоматологический университет им. А.И.Евдокимова Минздрава России;
2 ГКБ №19 г. Москвы;
3 Институт клинической фармакологии ФГБУ НЦ экспертизы средств медицинского применения Минздрава России, Москва
1Hospital Therapy Department Two, Faculty of Therapeutics, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia;
2 City Clinical Hospital Nineteen, Moscow;
3 Institute of Clinical Pharmacology, Research Center for Examination of Medical Products, Ministry of Health of Russia, Moscow