Congenital asplenia study: clinical and laboratory characterisation of adults with congenital asplenia.

Congenital asplenia Congenital polysplenia Howell-Jolly bodies Spleen

Journal

Annals of hematology
ISSN: 1432-0584
Titre abrégé: Ann Hematol
Pays: Germany
ID NLM: 9107334

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 13 09 2021
accepted: 11 01 2022
pubmed: 23 4 2022
medline: 22 6 2022
entrez: 22 4 2022
Statut: ppublish

Résumé

Congenital asplenia is a rare disorder commonly associated with other visceral and cardiac congenital anomalies. Isolated congenital asplenia is even less common than syndromic forms. The risk of severe bacterial infections associated with asplenia is the most concerning clinical implication and carries a significant mortality risk. Prophylactic measures against the clinical syndrome known as overwhelming postsplenectomy infections (OPSI) include vaccination, prophylactic and emergency antibiotics and health education including fever management and travel advice. This case series describes fourteen adults with congenital asplenia and polysplenia syndrome, most of whom were diagnosed incidentally as adults, and outlines the nature of their diagnosis, clinical phenotype, family history and key pathology findings.

Identifiants

pubmed: 35451619
doi: 10.1007/s00277-022-04765-3
pii: 10.1007/s00277-022-04765-3
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1421-1434

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Grace I Butel-Simoes (GI)

Monash Infectious Diseases, Monash Health, Victoria, Australia. gbutelsimoes@gmail.com.

Penelope Jones (P)

Spleen Australia, Alfred Health, Victoria, Australia.
Department of Infectious Diseases, Alfred Health, Victoria, Australia.

Erica M Wood (EM)

School of Public Health and Preventive Medicine, Monash University, Victoria, Australia.
Department of Haematology, Monash Health, Victoria, Australia.

Denis Spelman (D)

Spleen Australia, Alfred Health, Victoria, Australia.
Department of Infectious Diseases, Alfred Health, Victoria, Australia.

Ian J Woolley (IJ)

Monash Infectious Diseases, Monash Health, Victoria, Australia.
Spleen Australia, Alfred Health, Victoria, Australia.
Department of Infectious Diseases, Alfred Health, Victoria, Australia.
Centre for Inflammatory Diseases, School of Clinical Sciences, Monash University, Victoria, Australia.

Samar Ojaimi (S)

Monash Infectious Diseases, Monash Health, Victoria, Australia.
Centre for Inflammatory Diseases, School of Clinical Sciences, Monash University, Victoria, Australia.
Immunology Laboratory, Monash Pathology, Monash Health, Victoria, Australia.

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