Authors: Pornsuriyasak, Prapaporn¹; Suwatanapongched, Thitiporn²; Wangsuppasawad, Narathip³; Ngodngamthaweesuk, Montian⁴; Angchaisuksiri, Pantep⁵

Source: Respiratory Care, Volume 51, Number 3, January 2006 , pp. 272-276(5)

Publisher: The Journal Respiratory Care Company

Abstract:

Intrathoracic extramedullary hematopoiesis is an unusual but well-described entity. The condition is typically found in patients who have chronic hemolytic anemias, especially thalassemia. We report a case of a 38-year-old man with underlying beta thalassemia/hemoglobin E who developed intrathoracic extramedullary hematopoiesis. The hematopoietic masses spontaneously ruptured, resulting in massive hemothorax. The condition was confirmed by video-assisted thoracoscopy and successfully treated with surgery, hydroxyurea, and radiation.

Keywords: EXTRAMEDULLARY HEMATOPOIESIS; SPONTANEOUS HEMOTHORAX; BETA THALASSEMIA

Document Type: Case report

Affiliations: 1: Division of Pulmonary and Critical Care, Department of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama 6 Road, Rajthevi, Bangkok 10400, Thailand, Harbor University of California Medical School, Torrance, California;, Email: tepor@mah 2: Division of Diagnostic Radiology, Department of Radiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 3: Division of Pulmonary and Critical Care, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 4: Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 5: Division of Hematology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Publication date: 2006-01-01

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