Abstract:
:Anemia is common with connective tissue disorders, but pancytopenia is rare. We report a 22-year-old female who presented with menorrhagia, seizures, anemia, leukocytosis, thrombocytopenia, pericardial effusion, positive ANA, and evidence of vasculitis on CT head scan and was diagnosed with systemic lupus erythematosus (SLE). After 7 months of remission, she was readmitted with menorrhagia and pancytopenia. Investigations revealed aplastic anemia. She survived on transfusion support for 6 weeks, during which period she received methylprednisolone and cyclophosphamide pulses, and phenytoin was omitted but to no avail. Cyclosporine (300 mg/day) was started and the aplastic anemia responded. After 4 months of therapy, the cyclosporine was gradually tapered over the next 2 months. The patient has been on 10 mg/day of prednisolone for the last 6 months. Aplastic anemia is rare in SLE and the response to immunosuppressants is variable, but here is a success story.
journal_name
Rheumatol Intjournal_title
Rheumatology internationalauthors
Singh NP,Prakash A,Garg D,Makhija A,Pathania A,Prakash N,Kubba S,Agarwal SKdoi
10.1007/s00296-003-0318-zsubject
Has Abstractpub_date
2004-01-01 00:00:00pages
40-2issue
1eissn
0172-8172issn
1437-160Xjournal_volume
24pub_type
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journal_title:Rheumatology international
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pub_type: 杂志文章,评审
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abstract::The group of autoimmune cutaneous connective tissue diseases (CCTD) includes systemic sclerosis, dermatomyositis (DM), lupus erythematosus (LE), and subtypes. Most CCTD patients can be assigned to one of these phenotypes or mixed forms, and transitions among the subsets exist. We present the case of a 26-year-old woma...
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abstract::Chlamydia trachomatis (Ct)-induced arthritis (CtIA) is characterized by persistent Ct infection, which stimulates secretion of cytokines in vitro. We therefore investigated whether CtIA patients have a unique cytokine profile in synovial fluid or serum in vivo. Because underlying Ct infection is overlooked in a high p...
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journal_title:Rheumatology international
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pub_type: 历史文章,杂志文章
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journal_title:Rheumatology international
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pub_type:
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-007-0461-z
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-019-04411-8
更新日期:2019-10-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
doi:10.1007/s00296-020-04635-z
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pub_type: 杂志文章
doi:10.1007/s00296-012-2646-3
更新日期:2013-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00296-019-04265-0
更新日期:2019-04-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1007/BF00307733
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pub_type: 杂志文章
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-007-0408-4
更新日期:2007-12-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/pl00006846
更新日期:1997-01-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-011-2090-9
更新日期:2012-10-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-020-04724-z
更新日期:2021-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-07-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:2011-02-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-005-0058-3
更新日期:2006-03-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章,随机对照试验
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更新日期:2006-04-01 00:00:00