Thymoma-associated pancytopenia: effectiveness of cyclosporine A.

Abstract:

:Aplastic anemia is a rare complication of thymoma and is properly documented in only few cases. Here, we report the case of a previously healthy, 65-year-old patient who was found simultaneously to have a spindle-cell thymoma and severe hypoplastic anemia with a mild infiltration of the bone marrow by CD4+ and CD8+ T lymphocytes, CD16+ natural killer cells, and a decrease in blood CD4/CD8 ratio. Cultures of marrow erythroid progenitors demonstrated serum inhibitor. While steroids, cyclophosphamide and antilymphocyte globulin failed to improve hematopoiesis, cyclosporine A (Cy-A) led to a partial, stable remission that was sustained for 4 years. Since Cy-A has been associated with good responses in three cases of thymoma-associated red cell aplasia, we recommend its use in cases of thymoma-associated cytopenias refractory to steroids and cyclophosphamide.

journal_name

Ann Hematol

journal_title

Annals of hematology

authors

Liozon E,Touati M,Allegraud A,Gachard N,Loustaud V,Vidal E,Bordessoule D

doi

10.1007/s002770050437

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

175-8

issue

4

eissn

0939-5555

issn

1432-0584

journal_volume

77

pub_type

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