Chandra Sekhar C, Ramana Reddi V, Srinivas B, Naik K R
Dept of Haematology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.
J Assoc Physicians India. 1998 Jul;46(7):655-6.
Therapeutic indications for carbamazepine have grown in recent years and more and more patients are taking this drug for various neurological and psychiatric disorders. Though haematological complications like aplastic anaemia etc., due to carbamazepine therapy are well known pure red cell aplasia is exceedingly rare. A 33 year old man was diagnosed to have pure red cell aplasia with positive Coomb's test following 5 months of carbamazepine therapy. He recovered completely. Carbamazepine induced pure red cell aplasia is a reversible condition if recognised early.
近年来,卡马西平的治疗适应症有所增加,越来越多的患者因各种神经和精神疾病而服用这种药物。虽然卡马西平治疗引起的再生障碍性贫血等血液学并发症广为人知,但纯红细胞再生障碍极为罕见。一名33岁男性在接受卡马西平治疗5个月后被诊断为纯红细胞再生障碍且库姆斯试验呈阳性。他完全康复了。如果早期识别,卡马西平诱发的纯红细胞再生障碍是一种可逆转的病症。