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Article Details
Clinical Image
Volume 3, Issue 6 (June Issue)

Extramedullary Hematopoiesis in a Thalassemia Intermedia Patient

Nuno Taveira1*, Vera M Costa2 and João C Fernandes3

1University Institute 'Egas Moniz', Monte Da Caparica, Portugal
1Research Institute for Medicines, Faculty of Pharmacy of Lisbon, University of Lisbon, Lisbon, Portugal
2Applied Molecular Biosciences Unit (UCIBIO), University of Porto, Porto, Portugal
3Center for Biotechnology and Fine Chemistry, Catholic University of Portugal, Porto, Portugal

*Corresponding author: Nuno Taveira, Research Institute for Medicines, Faculty of Pharmacy of Lisbon, University of Lisbon, Lisbon, Portugal, E-mail: taveira.nunopt@gmail.com

Received: May 26, 2021; Accepted: June 06, 2021; Published: June 20, 2021

Citation: Taveira N, Costa VM, Fernandes JC, et al. Extramedullary Hematopoiesis in a Thalassemia Intermedia Patient. Clin Image Case Rep J. 2021; 3(6): 171.

Abstract

A 34-year-old gentleman presented with reduced effort tolerance and palpitation for one-week duration. He had underlying thalassemia intermedia diagnosed at the age of 7 years old. Clinically, he was pale with frontal bossing, nasal bridge depression, prominent maxillary bones and hepatosplenomegaly. His hemoglobin level was 4.5g/dl and he required an admission for transfusion. A chest radiograph showed multiple ribs expansion bilaterally, indicates features of extramedullary hematopoiesis. The computed tomography of thorax showed diffuse bony changes with medullary expansion, cortical thinning and coarse trabeculation involved the ribs and paravertebral consistent with extramedullary hematopoiesis. His average hemoglobin level for the past few years were between 4g - 7g/dl indicating that he had been under-transfused contributing to his prominent extramedullary hematopoiesis features.