Chronic Lymphocytic Leukemia Presenting as a Subcortical Watershed Infarct
Internal watershed infarcts (WI) involve white matter between deep and superficial arterial systems of middle cerebral artery. These infarcts are considered to be either from low blood flow or microembolism. Anemia is an extremely rare cause of watershed infarcts. Very few cases of hemolytic anemia...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Hematology |
| Online Access: | http://dx.doi.org/10.1155/2019/2089359 |
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| author | Mridul Gupta Divita Singh Patrick Lee Sandhya Kadiyam |
| author_facet | Mridul Gupta Divita Singh Patrick Lee Sandhya Kadiyam |
| author_sort | Mridul Gupta |
| collection | DOAJ |
| description | Internal watershed infarcts (WI) involve white matter between deep and superficial arterial systems of middle cerebral artery. These infarcts are considered to be either from low blood flow or microembolism. Anemia is an extremely rare cause of watershed infarcts. Very few cases of hemolytic anemia causing watershed cerebral infarcts have been reported. Chronic lymphocytic leukemia (CLL) is frequently complicated with secondary autoimmune cytopenia such as autoimmune hemolytic anemia (AIHA), immune thrombocytopenia (ITP), and pure red cell aplasia. AIHA is present in about 7–10% of patients with CLL. AIHA from CLL presenting as WI is an extremely rare phenomenon with no previously published case reports to the best of our knowledge. |
| format | Article |
| id | doaj-art-14a65bfb73b445979ca804cebdfa285a |
| institution | Kabale University |
| issn | 2090-6560 2090-6579 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hematology |
| spelling | doaj-art-14a65bfb73b445979ca804cebdfa285a2025-08-20T03:54:29ZengWileyCase Reports in Hematology2090-65602090-65792019-01-01201910.1155/2019/20893592089359Chronic Lymphocytic Leukemia Presenting as a Subcortical Watershed InfarctMridul Gupta0Divita Singh1Patrick Lee2Sandhya Kadiyam3Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USAAmbulatory Care Pharmacy Resident, University of Florida, Gainesville, Florida, USAHematology and Oncology, Monmouth Medical Center, Long Branch, New Jersey, USAInternal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USAInternal watershed infarcts (WI) involve white matter between deep and superficial arterial systems of middle cerebral artery. These infarcts are considered to be either from low blood flow or microembolism. Anemia is an extremely rare cause of watershed infarcts. Very few cases of hemolytic anemia causing watershed cerebral infarcts have been reported. Chronic lymphocytic leukemia (CLL) is frequently complicated with secondary autoimmune cytopenia such as autoimmune hemolytic anemia (AIHA), immune thrombocytopenia (ITP), and pure red cell aplasia. AIHA is present in about 7–10% of patients with CLL. AIHA from CLL presenting as WI is an extremely rare phenomenon with no previously published case reports to the best of our knowledge.http://dx.doi.org/10.1155/2019/2089359 |
| spellingShingle | Mridul Gupta Divita Singh Patrick Lee Sandhya Kadiyam Chronic Lymphocytic Leukemia Presenting as a Subcortical Watershed Infarct Case Reports in Hematology |
| title | Chronic Lymphocytic Leukemia Presenting as a Subcortical Watershed Infarct |
| title_full | Chronic Lymphocytic Leukemia Presenting as a Subcortical Watershed Infarct |
| title_fullStr | Chronic Lymphocytic Leukemia Presenting as a Subcortical Watershed Infarct |
| title_full_unstemmed | Chronic Lymphocytic Leukemia Presenting as a Subcortical Watershed Infarct |
| title_short | Chronic Lymphocytic Leukemia Presenting as a Subcortical Watershed Infarct |
| title_sort | chronic lymphocytic leukemia presenting as a subcortical watershed infarct |
| url | http://dx.doi.org/10.1155/2019/2089359 |
| work_keys_str_mv | AT mridulgupta chroniclymphocyticleukemiapresentingasasubcorticalwatershedinfarct AT divitasingh chroniclymphocyticleukemiapresentingasasubcorticalwatershedinfarct AT patricklee chroniclymphocyticleukemiapresentingasasubcorticalwatershedinfarct AT sandhyakadiyam chroniclymphocyticleukemiapresentingasasubcorticalwatershedinfarct |