Avaliação da esplenomegalia

Last reviewed: 21 Aug 2025
Last updated: 08 Aug 2025

Summary

Differentials

Common

  • Induzida por bebidas alcoólicas
  • Esteatose hepática
  • Colangite biliar primária (CBP)
  • Colangite esclerosante primária
  • Hemocromatose
  • Linfoma de Hodgkin
  • Linfoma não Hodgkin (LNH)
  • Macroglobulinemia de Waldenström ou linfoma linfoplasmacítico
  • Leucemia mieloide aguda (LMA)
  • Leucemia mieloide crônica (LMC)
  • Leucemia linfoide aguda (LLA)
  • Leucemia linfocítica crônica (LLC)
  • Leucemia de células pilosas
  • Mielofibrose
  • Policitemia vera
  • Trombocitose essencial
  • Metástases esplênicas
  • Anemia hemolítica autoimune
  • Artrite reumatoide (AR)
  • Síndrome de Felty
  • Lúpus eritematoso sistêmico
  • Sarcoidose
  • Malária
  • Vírus Epstein-Barr (EBV)
  • Endocardite
  • Abscessos esplênicos relacionados à sepse
  • Hepatite C crônica
  • Hepatite B crônica
  • Anemia falciforme
  • Defeitos citoesqueléticos
  • Talassemias
Full details

Uncommon

  • Tumores esplênicos benignos
  • Trombose da veia porta
  • Trombose da veia esplênica
  • Síndrome de Budd-Chiari
  • Linfo-histiocitose hemofagocítica (LHH)
  • Amiloidose
  • Doença de Gaucher ou de Niemann-Pick
  • Dengue grave
  • Ruptura esplênica
  • Hemorragia subcapsular
  • Secundária ao fator estimulador de colônias de granulócitos (G-CSF)
Full details

Contributors

Authors

Terri L. Parker, MD

Assistant Professor of Medicine

Section of Hematology

Yale School of Medicine

Smilow Cancer Center at Yale-New Haven

New Haven

CT

Disclosures

TLP declares that she has no competing interests.

Acknowledgements

Dr Terri L. Parker would like to gratefully acknowledge Dr Alan E. Lichtin, the previous contributor to this monograph.

Disclosures

AEL has received research support from Amgen.

Peer reviewers

Priyanka Mehta, MD

Consultant Haematologist

Bristol Haematology and Oncology Centre

Bristol

UK

Disclosures

PM declares that she has no competing interests.

Ruben A. Mesa, MD

Professor of Medicine

Mayo Clinic

Scottsdale

AZ

Disclosures

RAM declares that he has no competing interests.

Giovanni Barosi, MD

Director of the Laboratory of Clinical Epidemiology

IRCCS Policlinico S. Matteo Foundation

Pavia

Italy

Disclosures

GB declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

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Key articles

Gertz MA. Waldenström macroglobulinemia: 2023 update on diagnosis, risk stratification, and management. Am J Hematol. 2023 Feb;98(2):348-58.Full text  Abstract

Alaggio R, Amador C, Anagnostopoulos I, et al. The 5th edition of the World Health Organization classification of haematolymphoid tumours: lymphoid neoplasms. Leukemia. 2022 Jul;36(7):1720-48.Full text  Abstract

Shakoory B, Geerlinks A, Wilejto M, et al. The 2022 EULAR/ACR points to consider at the early stages of diagnosis and management of suspected haemophagocytic lymphohistiocytosis/macrophage activation syndrome (HLH/MAS). Ann Rheum Dis. 2023 Oct;82(10):1271-85.Full text  Abstract

Kowdley KV, Brown KE, Ahn J, et al. ACG clinical guideline: hereditary hemochromatosis. Am J Gastroenterol. 2019 Aug;114(8):1202-18.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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