Hidden Hematologic Disease in Trauma Patients: A Report of Two Cases

In trauma patients, coagulopathy and abnormal increases or decreases in cell counts are frequently observed, and are associated with high mortality and morbidity in the acute phase of trauma. Because major trauma is often life-threatening, and hematologic abnormalities are multi-factorial and transi...

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Main Authors: Sung Woo Jang, Pil Young Jung
Format: Article
Language:English
Published: Korean Society of Traumatology 2020-06-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://www.jtraumainj.org/upload/pdf/jti-2020-016.pdf
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author Sung Woo Jang
Pil Young Jung
author_facet Sung Woo Jang
Pil Young Jung
author_sort Sung Woo Jang
collection DOAJ
description In trauma patients, coagulopathy and abnormal increases or decreases in cell counts are frequently observed, and are associated with high mortality and morbidity in the acute phase of trauma. Because major trauma is often life-threatening, and hematologic abnormalities are multi-factorial and transient, major blood loss is usually suspected to be the primary cause of these abnormalities, and much time and cost may be spent attempting to identify a focus of hemorrhage that might or might not actually exist. Persistent abnormalities in the complete blood count, however, require clinical suspicion of other hematologic diseases to minimize improper transfusions and to improve outcomes, including mortality. Physicians at trauma centers should be familiar with the clinical characteristics of hematologic diseases and should consider these diseases in trauma patients. In this report, we present cases of two hematologic disorders found in trauma patients: autoimmune hemolytic anemia induced by systemic lupus erythematosus and myelodysplastic syndrome.
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spelling doaj-art-49593a5277eb4d43869b513e489fd1132025-08-20T03:36:48ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-06-0133211211810.20408/jti.2020.0161018Hidden Hematologic Disease in Trauma Patients: A Report of Two CasesSung Woo Jang0Pil Young Jung1 Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, KoreaIn trauma patients, coagulopathy and abnormal increases or decreases in cell counts are frequently observed, and are associated with high mortality and morbidity in the acute phase of trauma. Because major trauma is often life-threatening, and hematologic abnormalities are multi-factorial and transient, major blood loss is usually suspected to be the primary cause of these abnormalities, and much time and cost may be spent attempting to identify a focus of hemorrhage that might or might not actually exist. Persistent abnormalities in the complete blood count, however, require clinical suspicion of other hematologic diseases to minimize improper transfusions and to improve outcomes, including mortality. Physicians at trauma centers should be familiar with the clinical characteristics of hematologic diseases and should consider these diseases in trauma patients. In this report, we present cases of two hematologic disorders found in trauma patients: autoimmune hemolytic anemia induced by systemic lupus erythematosus and myelodysplastic syndrome.http://www.jtraumainj.org/upload/pdf/jti-2020-016.pdftrauma centershemorrhagehematologic diseases
spellingShingle Sung Woo Jang
Pil Young Jung
Hidden Hematologic Disease in Trauma Patients: A Report of Two Cases
Journal of Trauma and Injury
trauma centers
hemorrhage
hematologic diseases
title Hidden Hematologic Disease in Trauma Patients: A Report of Two Cases
title_full Hidden Hematologic Disease in Trauma Patients: A Report of Two Cases
title_fullStr Hidden Hematologic Disease in Trauma Patients: A Report of Two Cases
title_full_unstemmed Hidden Hematologic Disease in Trauma Patients: A Report of Two Cases
title_short Hidden Hematologic Disease in Trauma Patients: A Report of Two Cases
title_sort hidden hematologic disease in trauma patients a report of two cases
topic trauma centers
hemorrhage
hematologic diseases
url http://www.jtraumainj.org/upload/pdf/jti-2020-016.pdf
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