Severe Prolonged Red Blood Cell Aplasia and Thrombocytopenia Induced by Parvovirus B19 Infection in a Patient with Sarcoidosis

Autor: Marie Parrens, Jean-Michel Boiron, Marie-Edith Lafon, Olivier Hermine, Gerald Marit, Josy Reiffers, Jean-Luc Pellegrin, Jean-François Viallard
Rok vydání: 2003
Předmět:
Zdroj: Clinical Infectious Diseases. 36:229-233
ISSN: 1537-6591
1058-4838
Popis: We describe an acromegalic patient who developed a parvovirus B19 (PVB19) infection concomitantly with sarcoidosis, which was complicated by chronic red blood cell aplasia and severe thrombocytopenia, despite disappearance of the virus from serum and the production of high levels of specific polyclonal antibodies to PVB19. Mitogen stimulation of the patient's peripheral blood mononuclear cells induced oversecretion of interferon-gamma (IFN-gamma). Because hematopoietic suppression by IFN-gamma has been reported, a possible mechanism underlying reticulocytopenia and thrombocytopenia could involve IFN-gamma.
Databáze: OpenAIRE