Correlation between the values of circulating blood elements with the size of spleen in the presence of schistosomal splenomegaly

Abstract Purpose: To evaluate a possible relationship between the size of the spleen and values of circulating blood elements in patients with schistosomatic splenomegaly. Methods: ixty one patients with hepatosplenic schistosomiasis mansoni underwent a clinical exam and peripheral venous blood was...

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Bibliographic Details
Published in:Acta cirúrgica brasileira 2018-12, Vol.33 (12), p.1103-1109
Main Authors: Vasconcellos, Leonardo de Souza, Petroianu, Andy, Romeiro, Juliana Ribeiro, Tavares Junior, Wilson Campos, Resende, Vivian
Format: Article
Language:English
Subjects:
Anemia
Leukopenia
Schistosomiasis mansoni
Splenomegaly
Thrombocytopenia
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Summary:Abstract Purpose: To evaluate a possible relationship between the size of the spleen and values of circulating blood elements in patients with schistosomatic splenomegaly. Methods: ixty one patients with hepatosplenic schistosomiasis mansoni underwent a clinical exam and peripheral venous blood was collected for a hemogram. The erythrocyte, hemoglobin, hematocrit, leukocyte, and platelet values were determined. All patients underwent abdominal ultrasound to measure the spleen. The hematological test results were compared to the size of the spleen. Results: The size of the spleen varied from 14.0 to 28.4 (19.9 ± 3.7) cm according to the ultrasound image. Thrombocytopenia was observed 58 (95%) patients, leukopenia in 55 (90%) patients, and anemia in 32 (52.4%) patients. Leukopenia was proportional to splenomegaly. Conclusion: Schistosomal splenomegaly leads to leukopenia in direct proportion to the size of the spleen.
ISSN:0102-8650
1678-2674
DOI:10.1590/s0102-865020180120000008