Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplant

ABSTRACT The paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired disease, with thrombotic episodes and frequent pancytopenia. We report the case of a 32 year-old female PNH patient with bone marrow aplasia, which followed a complex course, diagnosed with aplastic anemia associated with PNH,...

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Main Authors: Railene Célia B. Alencar, Andréa M. Guimarães, Lacy C. Brito Junior
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442016000500307&lng=en&tlng=en
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author Railene Célia B. Alencar
Andréa M. Guimarães
Lacy C. Brito Junior
author_facet Railene Célia B. Alencar
Andréa M. Guimarães
Lacy C. Brito Junior
author_sort Railene Célia B. Alencar
collection DOAJ
description ABSTRACT The paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired disease, with thrombotic episodes and frequent pancytopenia. We report the case of a 32 year-old female PNH patient with bone marrow aplasia, which followed a complex course, diagnosed with aplastic anemia associated with PNH, evolving in three years with Budd-Chiari syndrome and liver transplantation. Post-transplant complications, hepatic arterial thrombosis, graft rejection, liver retransplantation and treatment of PNH with eculizumab. Clinical stabilization and cessation of symptoms were achieved.
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spelling doaj.art-3e3d66a546354d7f8100de0da47a0e9a2022-12-22T02:03:41ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1676-24441678-477452530731110.5935/1676-2444.20160051S1676-24442016000500307Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplantRailene Célia B. AlencarAndréa M. GuimarãesLacy C. Brito JuniorABSTRACT The paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired disease, with thrombotic episodes and frequent pancytopenia. We report the case of a 32 year-old female PNH patient with bone marrow aplasia, which followed a complex course, diagnosed with aplastic anemia associated with PNH, evolving in three years with Budd-Chiari syndrome and liver transplantation. Post-transplant complications, hepatic arterial thrombosis, graft rejection, liver retransplantation and treatment of PNH with eculizumab. Clinical stabilization and cessation of symptoms were achieved.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442016000500307&lng=en&tlng=enpure red-cell aplasiaparoxysmal hemoglobinurialiver transplantation
spellingShingle Railene Célia B. Alencar
Andréa M. Guimarães
Lacy C. Brito Junior
Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplant
Jornal Brasileiro de Patologia e Medicina Laboratorial
pure red-cell aplasia
paroxysmal hemoglobinuria
liver transplantation
title Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplant
title_full Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplant
title_fullStr Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplant
title_full_unstemmed Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplant
title_short Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplant
title_sort report of a case of paroxysmal nocturnal hemoglobinuria pnh with complex evolution and liver transplant
topic pure red-cell aplasia
paroxysmal hemoglobinuria
liver transplantation
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442016000500307&lng=en&tlng=en
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