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 Hematoljournal_title
Annals of hematologyauthors
Liozon E,Touati M,Allegraud A,Gachard N,Loustaud V,Vidal E,Bordessoule Ddoi
10.1007/s002770050437subject
Has Abstractpub_date
1998-10-01 00:00:00pages
175-8issue
4eissn
0939-5555issn
1432-0584journal_volume
77pub_type
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journal_title:Annals of hematology
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pub_type: 临床试验,杂志文章
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journal_title:Annals of hematology
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journal_title:Annals of hematology
pub_type: 杂志文章,评审
doi:10.1007/BF01700275
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journal_title:Annals of hematology
pub_type: 杂志文章,评审
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journal_title:Annals of hematology
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journal_title:Annals of hematology
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journal_title:Annals of hematology
pub_type: 杂志文章,多中心研究
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journal_title:Annals of hematology
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journal_title:Annals of hematology
pub_type: 杂志文章
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journal_title:Annals of hematology
pub_type: 临床试验,杂志文章
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journal_title:Annals of hematology
pub_type: 杂志文章
doi:10.1007/s00277-016-2727-6
更新日期:2016-09-01 00:00:00
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journal_title:Annals of hematology
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