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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Oncohematology</journal-id><journal-title-group><journal-title xml:lang="en">Oncohematology</journal-title><trans-title-group xml:lang="ru"><trans-title>Онкогематология</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1818-8346</issn><issn publication-format="electronic">2413-4023</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">643</article-id><article-id pub-id-type="doi">10.17650/1818-8346-2007-0-2-40-46</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>RARE AND DIFFICULT HEMATOLOGIC SYNDROMES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>РЕДКИЕ И СЛОЖНЫЕ ГЕМАТОЛОГИЧЕСКИЕ СИНДРОМЫ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Severe anemia of uncertain origin in a patient with advanced gastric cancer</article-title><trans-title-group xml:lang="ru"><trans-title>Тяжелая анемия необычного генеза у больной диссеминированным раком желудка</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Zhukov</surname><given-names>N. V.</given-names></name><name xml:lang="ru"><surname>Жуков</surname><given-names>Н. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Federal Children's Hematology, Oncology and Immunology Center</institution></aff><aff><institution xml:lang="ru">Федеральный научно-клинический центр детской гематологии, онкологии и иммунологии</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2007-05-23" publication-format="electronic"><day>23</day><month>05</month><year>2007</year></pub-date><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>40</fpage><lpage>46</lpage><history><date date-type="received" iso-8601-date="2022-11-23"><day>23</day><month>11</month><year>2022</year></date><date date-type="accepted" iso-8601-date="2022-11-23"><day>23</day><month>11</month><year>2022</year></date></history><permissions><copyright-year>2007</copyright-year><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://oncohematology.abvpress.ru/ongm/article/view/643">https://oncohematology.abvpress.ru/ongm/article/view/643</self-uri><abstract xml:lang="en"><p>Case report of severe anemia of unknown origin and delayed intravascular hemolysis of transfused blood products in 27 years old female patient with stage IV gastric adenocarcinoma. Article presented diagnostic process with mistakes analysis and literature review.</p></abstract><trans-abstract xml:lang="ru"><p>Описание случая. У пациентки 27 лет, страдающей диссеминированной аденокарциномой желудка, выявлена глубокая анемия, генез которой неясен. Проведение гемотрансфузий приводит к отсроченному внутрисосудистому гемолизу переливаемых эритроцитов. Представлены описание дифференциально-диагностического поиска, анализ диагностических ошибок, допущенных в его процессе, и литературный обзор, посвященный выявленному виду анемии.</p></trans-abstract><kwd-group xml:lang="en"><kwd>gastric adenocarcinoma</kwd><kwd>metastatic cancer</kwd><kwd>blood transfusion</kwd><kwd>intravascular hemolysis</kwd><kwd>microangiopathic hemolytic anemia</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>аденокарцинома желудка</kwd><kwd>диссеминированный рак</kwd><kwd>гемотрансфузии</kwd><kwd>внутрисосудистый гемолиз</kwd><kwd>микроангиопатическая гемолитическая анемия</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1.	Tsai H.M. Advances in the Pathogenesis, Diagnosis, and Treatment of Thrombotic Thrombocytopenic Purpura. J Am Soc Nephrol 2003;14: 1072—81.</mixed-citation><mixed-citation xml:lang="ru">Tsai H.M. 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