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Successful treatment of primary Sjögren's syndrome with chronic natural killer lymphocytosis by high-dose prednisolone and indomethacin farnesil.

作者信息

Fujita Yoshimasa, Fujii Takao, Takeda Naho, Tanaka Masao, Mimori Tsuneyo

机构信息

Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, USA.

出版信息

Intern Med. 2007;46(5):251-4. doi: 10.2169/internalmedicine.46.1881. Epub 2007 Mar 1.

DOI:10.2169/internalmedicine.46.1881
PMID:17329922
Abstract

We report a patient with Sjögren's syndrome and chronic natural killer lymphocytosis, who developed severe neutropenia, autoimmune hemolytic anemia, and immune thrombocytopenia. High-dose prednisolone therapy improved the hemolytic anemia and thrombocytopenia, but not the CD16(+) CD56(-) NK lymphocytosis completely. Interestingly, indomethacin farnesil (a prodrug of indomethacin) was effective for myalgia and also decreased the number of CD16(+) CD56(-) NK cells. NK lymphocytosis is rarely associated with autoimmune disease, but the combination of indomethacin and steroid therapy may have a favorable effect for such patients.

摘要

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