What are the symptoms of spleen enlargement in women

If a woman has an enlarged spleen, she will often show a variety of symptoms. We know that the skin is an important digestive organ. An enlarged spleen often causes a variety of symptoms in the digestive tract and can cause some cardiovascular diseases. For example, it often causes bacterial infections and can cause thrombocytopenic purpura. Depending on the different symptoms of enlarged spleen, the harm is very serious. Once similar symptoms appear, you should check in time.

Clinical manifestations

1. Extent of splenomegaly

The degree of splenomegaly is related to the disease.

(1) Mild splenomegaly: When taking a deep breath, the lower edge of the spleen is 2 to 3 cm below the costal margin. It can be seen in certain viral infections, bacterial infections, rickettsial infections, congestive heart failure, portal hypertension in cirrhosis, Hodgkin's disease, systemic lupus erythematosus, tropical eosinophilia, idiopathic thrombocytopenic purpura, etc.

(2) Moderate splenomegaly: The lower edge of the spleen extends 3 cm below the costal margin to the level of the navel. It can be seen in acute myeloid leukemia, acute lymphocytic leukemia, chronic hemolytic anemia, infectious mononucleosis, splenic amyloidosis, malignant lymphoma, Niemann-Pick disease, etc.

(3) Extreme splenomegaly or splenomegaly is when the lower edge of the spleen extends below the level of the umbilicus. It can be seen in chronic myeloid leukemia, chronic malaria, late-stage schistosomiasis, polycythemia vera, thalassemia, etc.

2. Texture of the spleen

The texture of splenomegaly may change to varying degrees due to different causes. Generally, splenomegaly caused by acute infection has a soft texture; splenomegaly caused by chronic infection, leukemia cells, and tumor cell infiltration has a hard texture and an uneven surface; the spleen caused by cirrhosis has a moderately hard texture; the texture of splenomegaly due to congestive disease varies depending on the degree of congestion and the duration of congestion. If the duration is short and the congestion is mild, the texture is soft; if the duration is long or the congestion is severe, the texture is hard, but generally feels full. Cystic swellings have a cystic feel and an uneven surface.

3. Associated signs

(1) Anemia, hemorrhagic spots or ecchymoses are seen in splenomegaly caused by hematological diseases, such as various types of leukemia, idiopathic thrombocytopenic purpura, etc.

(2) Anemia and jaundice are seen in hemolytic anemia, chronic viral hepatitis, cirrhosis, malignant histiocytosis, sepsis, etc.

(3) Enlargement of the liver and lymph nodes is seen in malignant lymphoma, lymphocytic leukemia, connective tissue disease, infectious mononucleosis, etc.

(4) Hepatic facies, liver palms and spider nevi are seen in chronic viral hepatitis and cirrhosis.

(5) Various types of rashes are common in various infectious diseases or infectious diseases, such as typhoid fever, typhus, brucellosis, sepsis, subacute infective endocarditis, etc.

(6) Edema and peritoneal effusion are seen in chronic right-sided heart failure, constrictive pericarditis, portal hypertension due to cirrhosis, inferior vena cava obstruction, etc.

(7) Cardiac enlargement is seen in chronic heart failure caused by various heart diseases and large pericardial effusion caused by various reasons.