Asplenia history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anum Dilip, M.B.B.S[2]
Overview
History and Symptoms
History
Patients with asplenia may have a positive history of:
- Trauma [1]
- Surgery
- sickle cell disease [2]
- chronic liver disease, human immunodeficiency syndrome (HIV), malignancies, thalassemia, celiac disease, ulcerative colitis, sarcoidosis, amyloidosis, lupus, rheumatoid arthritis [3]
- Heterozygous coding mutations in RPSA.
- Genetic defect: connexin 43 and ZIC3 have been shown to be involved in heterotaxia syndromes.[4]
Common Symptoms
Common symptoms of asplenia include:
- Fever [5]
- Chills
- Sore throat
- Diarrhoea
- muscle aches
- Abdominal pain [2]
- Nausea and vomiting
- Neck stiffness (nuchal rigidity) [6]
- Altered mental status
- Myalgia
Less Common Symptoms
References
- ↑ Ahmed SA, Zengeya S, Kini U, Pollard AJ (2010). "Familial isolated congenital asplenia: case report and literature review". Eur J Pediatr. 169 (3): 315–8. doi:10.1007/s00431-009-1030-0. PMID 19618213.
- ↑ 2.0 2.1 2.2 Thiruppathy K, Privitera A, Jain K, Gupta S (2008). "Congenital asplenia and group B streptococcus sepsis in the adult: case report and review of the literature". FEMS Immunol Med Microbiol. 53 (3): 437–9. doi:10.1111/j.1574-695X.2008.00422.x. PMID 18564289.
- ↑ Long B, Koyfman A, Gottlieb M (2021). "Complications in the adult asplenic patient: A review for the emergency clinician". Am J Emerg Med. 44: 452–457. doi:10.1016/j.ajem.2020.03.049. PMID 32247651 Check
|pmid=value (help). - ↑ MYERSON RM, KOELLE WA (1956). "Congenital absence of the spleen in an adult; report of a case associated with recurrent Waterhouse-Friderichsen syndrome". N Engl J Med. 254 (24): 1131–2. doi:10.1056/NEJM195606142542406. PMID 13322226.
- ↑ Yildiz H, Yombi JC (2017). "Fever and asplenia: a dangerous association". BMJ Case Rep. 2017. doi:10.1136/bcr-2017-220513. PMC 5535142. PMID 28659372.
- ↑ Huebner ML, Milota KA (2015). "Asplenia and fever". Proc (Bayl Univ Med Cent). 28 (3): 340–1. doi:10.1080/08998280.2015.11929267. PMC 4462215. PMID 26130882.