Steven Kho, Nurjati C Siregar, Labibah Qotrunnada, Aurélie Fricot, Abdoulaye Sissoko, Putu A I Shanti, Freis Candrawati, Noy N Kambuaya, Hasrini Rini, Benediktus Andries, David Hardy, Nur I Margyaningsih, Fauziyah Fadllan, Desandra A Rahmayenti, Agatha M Puspitasari, Leo Leonardo, Bagus T G Yayang, Dewi S Margayani, Pak Prayoga, Leily Trianty, Enny Kenangalem, Ric N Price, Tsin W Yeo, Gabriela Minigo, Rintis Noviyanti, Jeanne R Poespoprodjo, Nicholas M Anstey, Pierre A Buffet
Splenomegaly frequently occurs in patients with Plasmodium falciparum (Pf) or P. vivax (Pv) malarial anemia, but mechanisms underlying this co-occurrence are unclear. In malaria-endemic Papua, Indonesia, we prospectively analyzed red blood cell (RBC) concentrations in the spleen and spleen-mimetic retention in 37 subjects splenectomized for trauma or hyperreactive splenomegaly, most of whom were infected with Plasmodium. Splenomegaly (median 357 g [range: 80-1918 g]) was correlated positively with the proportion of red-pulp on histological sections (median 88...
November 27, 2023: American Journal of Hematology