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B细胞慢性淋巴细胞白血病中的骨髓再生障碍:抗胸腺细胞球蛋白治疗成功

Bone marrow aplasia in B cell chronic lymphocytic leukaemia: successful treatment with antithymocyte globulin.

作者信息

Singal R, Winfield D A, Greaves M

机构信息

Department of Haematology, Royal Hallamshire Hospital, Sheffield.

出版信息

J Clin Pathol. 1991 Nov;44(11):954-6. doi: 10.1136/jcp.44.11.954.

DOI:10.1136/jcp.44.11.954
PMID:1752988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC496639/
Abstract

Pure red cell aplasia is a rare but well known association of chronic lymphocytic leukaemia (CLL). Pancytopenia due to bone marrow aplasia has not been previously described in CLL. A 42 year old man with B cell CLL became severely pancytopenic with bone marrow aplasia. Bone marrow culture resulted in a greatly reduced colony formation. High dose corticosteroids and intravenous immunoglobulin treatment were unsuccessful. Prompt and complete marrow recovery ensued after administration of antithymocyte globulin.

摘要

纯红细胞再生障碍性贫血是慢性淋巴细胞白血病(CLL)一种罕见但广为人知的关联病症。此前尚未有CLL患者因骨髓再生障碍导致全血细胞减少的相关描述。一名患有B细胞CLL的42岁男性出现严重全血细胞减少并伴有骨髓再生障碍。骨髓培养显示集落形成大幅减少。高剂量皮质类固醇和静脉注射免疫球蛋白治疗均未成功。给予抗胸腺细胞球蛋白后,骨髓迅速且完全恢复。

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本文引用的文献

1
T gamma (T gamma) cells suppress growth of erythroid colony-forming units in vitro in the pure red cell aplasia of B-cell chronic lymphocytic leukemia.Tγ(Tγ)细胞在B细胞慢性淋巴细胞白血病的纯红细胞再生障碍中可在体外抑制红系集落形成单位的生长。
J Clin Invest. 1982 Dec;70(6):1148-56. doi: 10.1172/jci110713.
2
Complete resolution of pure red cell aplasia in a patient with chronic lymphocytic leukemia following antithymocyte globulin therapy.一名慢性淋巴细胞白血病患者在接受抗胸腺细胞球蛋白治疗后纯红细胞再生障碍完全缓解。
JAMA. 1988 Feb 5;259(5):723-5.
3
Pure red-cell aplasia in patients with chronic lymphocytic leukemia.慢性淋巴细胞白血病患者的纯红细胞再生障碍
Medicine (Baltimore). 1986 Sep;65(5):339-51. doi: 10.1097/00005792-198609000-00006.
4
Effect of antilymphocyte globulin (ALG) on bone marrow T/non-T cells from aplastic anaemia patients and normal controls.
Br J Haematol. 1989 Dec;73(4):546-50. doi: 10.1111/j.1365-2141.1989.tb00295.x.
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Cyclosporin-A therapy of pure red cell aplasia in a patient with B-cell chronic lymphocytic leukemia.环孢素A治疗1例B细胞慢性淋巴细胞白血病合并纯红细胞再生障碍性贫血患者
Eur J Haematol. 1989 Mar;42(3):303-7. doi: 10.1111/j.1600-0609.1989.tb00117.x.