Abstract：
:Four cases of splenic infarction/sequestration in sickle cell trait (SCT) patients are presented. All four patients were undergoing moderate exercise at elevations ranging from 5,500 to 12,000 feet. The patients include two African-American males, a Hispanic male, and a white female. All four presented with the acute onset of mid epigastric then left upper-quadrant pain, nausea, vomiting, and respiratory splinting. A review of the literature indicates that splenic infarction with SCT is not uncommon; however, not surprisingly, it is often initially misdiagnosed. This is the first report in the literature of a female with SCT incurring a splenic syndrome with exposure to terrestrial altitude. Although SCT is not a contraindication for moderate- or high-altitude activities, military physicians need to consider the diagnosis of splenic infarction early in any patient regardless of race or sex who presents with left upper-quadrant pain at altitudes above 5,000 feet. Prompt evacuation to sea level may hasten recovery and spare further splenic trauma. Although SCT should be considered a relatively benign entity, the literature also suggests a higher than average risk of sudden death in military recruits with SCT from exertional heat illness and rhabdomyolysis.
journal_name
Mil Medjournal_title
Military medicineauthors
Franklin QJ,Compeggie Mkeywords:
subject
Has Abstractpub_date
1999-03-01 00:00:00pages
230-3issue
3eissn
0026-4075issn
1930-613Xjournal_volume
164pub_type
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journal_title：Military medicine
pub_type： 杂志文章
doi：
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journal_title：Military medicine
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journal_title：Military medicine
pub_type： 杂志文章
doi：
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journal_title：Military medicine
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doi：
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doi：
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doi：
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doi：
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journal_title：Military medicine
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doi：
更新日期：1995-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
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journal_title：Military medicine
pub_type： 杂志文章
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更新日期：2005-05-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00180
更新日期：2013-11-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2019-03-01 00:00:00
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pub_type： 杂志文章
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journal_title：Military medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1993-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-05-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
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journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1999-08-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-04-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
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更新日期：2005-12-01 00:00:00
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journal_title：Military medicine
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doi：
更新日期：2002-08-01 00:00:00
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