Erschienen in:
03.07.2020 | Review Article
Thalassemia in the emergency department: special considerations for a rare disease
verfasst von:
Antoine N. Saliba, Ali Atoui, Mohamad Labban, Hani Hamade, Rayan Bou-Fakhredin, Afif Mufarrij, Ali T. Taher
Erschienen in:
Annals of Hematology
|
Ausgabe 9/2020
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Abstract
Thalassemia is characterized by a defect in the synthesis of one or more of the globin subunits of hemoglobin. This defect results in imbalance in the α/β-globin chain ratio, ineffective erythropoiesis, chronic hemolytic anemia, and iron overload. With advances in diagnosis, treatment, and transfusion support, the prognosis of patients with thalassemia has improved over the past few decades. An increasing number of patients with thalassemia is living with long-term complications, including cardiomyopathy, chronic liver disease, endocrinopathy, and infections. In this paper, we review common complications that bring the patient with thalassemia to urgent or emergent medical attention. We also discuss the aspects of emergency care that are most relevant while caring for the patient with thalassemia in the emergency department.