The Spleen and Its Disorders

Thomas A. Ollila, Adam S. Zayac, Fred J. Schiffman

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Galen described the spleen as the “organ of mystery,” with functions related to mood and good or ill humors. It was not until the 18th century that the spleen’s relationship to the immune and hematologic systems was appreciated. The complexities and multiplicity of splenic function continue to be the focus of research and observation. Although many of its functions overlap with, or can be assumed by other organs, it is an important regulator of immune response and hematologic homeostasis. The spleen efficiently phagocytoses erythrocytes, recycles iron, recognizes and destroys pathogens, and induces adaptive immune responses. An appreciation for the subtleties of its anatomy and function is important for the physician evaluating patients with many hematologic, immunologic, hepatic, and infectious diseases.

Original languageAmerican English
Title of host publicationHematology
Subtitle of host publicationBasic Principles and Practice, Eighth Edition
PublisherElsevier
Pages2378-2393
Number of pages16
ISBN (Electronic)9780323733885
DOIs
StatePublished - Jan 1 2022

ASJC Scopus subject areas

  • General Medicine

Keywords

  • asplenia and hyposplenia
  • hypersplenism
  • overwhelming post-splenectomy infection
  • sickle cell anemia
  • spleen
  • splenectomy

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