Persistent splenomegaly in an adult female with homozygous sickle cell anemia
摘要:
Sickle cell anemia (SCA) is associated with repeated episodes of erythrostasis in the spleen, which lead to thrombosis and infarction of the spleen resulting in "autosplenectomy" which is usually complete by 8 years of age.We present a case of a 22-year-old female who presented with complaints of fever, bone pain and joint swelling. On examination she had pallor, icterus and moderate splenomegaly. Her hemoglobin was 7.5g/dl. Peripheral smear showed many sickled red cells. Slide test for sickling was positive with 2% sodium metabisulphite. Hemoglobin electrophoresis revealed a single band in the hemoglobin S, D, and G region. No band was seen in the HbA & HbA(2) region. HbF level was 0%. USG showed an enlarged spleen with few defined hypoechoeic lesion.We present this case because of rarity of association of homozygous SCA with splenomegaly in this age group, the confusion that echogenic lesions in spleen can create and to emphasize the risk of sequestration crises, which remains in such cases.
an effective means to convert methyl 2‐(azidomethyl)‐3‐arylpropenoates and 2‐(azidomethyl)‐3‐arylacrylonitriles to the corresponding iminyl radicals via α‐hydrogenabstraction and subsequent extrusion of dinitrogen. Thus formed iminyl radicals then undergo intramolecular ortho attack on the aryl ring, affording methyl quinoline‐3‐carboxylates and quinoline‐3‐carbonitriles respectively.
Synthesis and structural features of new [5,7] orthocyclophanes, [7,7] cyclophanes and corresponding macrobicyclic cryptophanes.
作者:Patrick Bauchat、Nathalie Le Bras、Luc Rigal、André Foucaud
DOI:10.1016/s0040-4020(01)85265-0
日期:1994.1
Baylis-Hillman reaction of dialdehydes with methyl acrylate, followed by acetylation of the resulting diols gave diacetates 3, 14, 16 and 20. Treated with ammonia, these diacetates afforded new cyclophanes and the corresponding macrobicyclic cryptophanes. Conformational analysis of the cyclophanes was described.
The Coupling of Tertiary Amines with Acrylate Derivatives via Visible-Light Photoredox Catalysis
作者:Xiaojun Dai、Dongping Cheng、Baochuan Guan、Wenjuan Mao、Xiaoliang Xu、Xiaonian Li
DOI:10.1021/jo501097b
日期:2014.8.1
Catalyzed by Ru(bpy)3(BF4)2, the photoredox coupling of tertiary amines with acrylate derivatives including Baylis–Hillman adducts under visible light irradiation was successfully established. The scope of the substrates was broad, and thus an array of γ-aminobutyric ester derivatives was obtained in moderate to good yields.
The preparation of N-containing α,β-unsaturated carboxylate derivatives from α-silylamine and Baylis-Hillmanadducts under visible light irradiation was reported. The formation of α-aminoalkyl radical is regioselective compared with the previous reports. The reaction was successfully performed without additional additives under mild conditions.
Synthesis of 3,4,5-Trisubstituted Isoxazoles from Morita-Baylis-Hillman Acetates by an NaNO<sub>2</sub>/I<sub>2</sub>-Mediated Domino Reaction
作者:Shashikant U. Dighe、Sushobhan Mukhopadhyay、Shivalinga Kolle、Sanjeev Kanojiya、Sanjay Batra
DOI:10.1002/anie.201504529
日期:2015.9.7
3‐nitro‐5‐(aryl/alkyl)isoxazole‐4‐carboxylates is described. In a cascade event, initial Michael addition of NaNO2 to the MBH acetate furnishes the allylnitro intermediate which undergoes I2‐catalyzed oxidative α‐CH nitration of the nitromethyl subunit followed by [3+2] cycloaddition to afford the title compounds. Structural elaborations of these highly substituted isoxazoles by SNAr reactions and
本文描述了一种有效的NaNO 2 / I 2介导的Morita-Baylis-Hillman(MBH)乙酸盐单酯转化为3-硝基--5-(芳基/烷基)异恶唑-4-羧酸烷基酯的方法。在一个级联事件,初始迈克尔加成纳米2到MBH醋酸配料其经历我的allylnitro中间2催化的氧化α-C 的硝基甲基亚基h的硝化,接着[3 + 2]环加成,得到标题化合物。这些高度取代的异恶唑通过S N Ar反应和氢解进行结构精制可以得到有用的产品。