Combined antithymocyte globulin cyclosporin methylprednisolone and granulocyte colony-stimulating factor are effective in a patient with hepatitis-associated severe aplastic anemia

Autor: Masakazu Nitta, Hidetsugu Mihara, Hiroshi Miwa, Yoshiro Kato, Akira Imamura, Atsushi Sato, Emi Tajima, Akihito Hiramatsu, Minori Kanakura, Motohiro Wakabayashi
Rok vydání: 2002
Předmět:
Zdroj: Nihon Naika Gakkai Zasshi. 91:1036-1038
ISSN: 1883-2083
0021-5384
DOI: 10.2169/naika.91.1036
Popis: 22歳,男性.発熱出現,急性肝炎(A, B, C, D, G陰性)と診断され補液により肝機能改善. HSV, CMV, EBV,パルボウイルス,風疹,麻疹抗体価の上昇認めず. WBC 1,400/μl, Hb 12.1g/dl, Plt 22,000/μlと汎血球減少悪化. methylprednisolone (m-PLS)大量療法では反応せず.肝炎後重症再生不良性貧血と診断. Antithymocyte globulin (ATG)・cyclosporin (CyA)・m-PSL・granulocyte colony-stimulating factor (G-CSF)併用療法を行い寛解を得た.現在治療薬なしで寛解を維持している.
Databáze: OpenAIRE