Aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistémico

Background - Anemia and thrombocytopenia are common features in patients with systemic lupus erythematosus (SLE). However, erythroid aplasia and amegakaryocytosis as the main physiopathological causes without other associated disorders have been rarely described. Case report – We report of a 29...

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Main Authors: Rui Suzano, Juvenal Morais, José Fernandes, Judite Sachicumbi, Luis Caminal-Montero
Format: Article
Language:English
Published: Sociedade Galega de Medicina Interna 2023-09-01
Series:Galicia Clínica
Subjects:
Online Access:https://galiciaclinica.info/publicacion.asp?f=2910
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author Rui Suzano
Juvenal Morais
José Fernandes
Judite Sachicumbi
Luis Caminal-Montero
author_facet Rui Suzano
Juvenal Morais
José Fernandes
Judite Sachicumbi
Luis Caminal-Montero
author_sort Rui Suzano
collection DOAJ
description Background - Anemia and thrombocytopenia are common features in patients with systemic lupus erythematosus (SLE). However, erythroid aplasia and amegakaryocytosis as the main physiopathological causes without other associated disorders have been rarely described. Case report – We report of a 29 y/o female with diagnosis of SLE presenting with severe anemia and thrombocytopenia due to a bone marrow immunological blockage. Patient, who initially refused transfusions, was successfully treated and had a very fast hematological response to steroids, immunoglobulin, plasma exchange, eltrombopag and rituximab. Discussion– This is an unusual case and it is possible that in this kind of patients plasma exchange associated with immunosuppressant therapy may lead to a faster, more effective and sustained recovery of the hematological disorders.
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spelling doaj.art-dca360c41a924a9ea6bd7d5b2e5c9eec2023-09-11T11:20:15ZengSociedade Galega de Medicina InternaGalicia Clínica0304-48661989-39222023-09-01842384010.22546/69/29102910Aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistémicoRui Suzano0Juvenal Morais1José Fernandes2Judite Sachicumbi3Luis Caminal-Montero4Dept Internal Medicine/Systemic Autoimune Diseases Unit. Hospital da HortaDepartment of Intensive Care Medicine, Hospital da HortaDepartment of Hematology, Hospital da HortaDepartament of Pathology, Hospital da HortaInternal Medicine, Hospital Universitario Central de AsturiasBackground - Anemia and thrombocytopenia are common features in patients with systemic lupus erythematosus (SLE). However, erythroid aplasia and amegakaryocytosis as the main physiopathological causes without other associated disorders have been rarely described. Case report – We report of a 29 y/o female with diagnosis of SLE presenting with severe anemia and thrombocytopenia due to a bone marrow immunological blockage. Patient, who initially refused transfusions, was successfully treated and had a very fast hematological response to steroids, immunoglobulin, plasma exchange, eltrombopag and rituximab. Discussion– This is an unusual case and it is possible that in this kind of patients plasma exchange associated with immunosuppressant therapy may lead to a faster, more effective and sustained recovery of the hematological disorders.https://galiciaclinica.info/publicacion.asp?f=2910lupus eritematoso sistémicoaplasia eritroideamegacariocitosisplasmaféresistratamientos inmunosupresores
spellingShingle Rui Suzano
Juvenal Morais
José Fernandes
Judite Sachicumbi
Luis Caminal-Montero
Aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistémico
Galicia Clínica
lupus eritematoso sistémico
aplasia eritroide
amegacariocitosis
plasmaféresis
tratamientos inmunosupresores
title Aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistémico
title_full Aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistémico
title_fullStr Aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistémico
title_full_unstemmed Aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistémico
title_short Aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistémico
title_sort aplasia eritroide aguda y amegacariocitosis por el lupus eritematoso sistemico
topic lupus eritematoso sistémico
aplasia eritroide
amegacariocitosis
plasmaféresis
tratamientos inmunosupresores
url https://galiciaclinica.info/publicacion.asp?f=2910
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