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类风湿关节炎中与硫唑嘌呤相关的全血细胞减少症。

Pancytopenia related to azathioprine in rheumatoid arthritis.

作者信息

Jeurissen M E, Boerbooms A M, van de Putte L B

机构信息

Department of Rheumatology, University Hospital Nijmegen, The Netherlands.

出版信息

Ann Rheum Dis. 1988 Jun;47(6):503-5. doi: 10.1136/ard.47.6.503.

DOI:10.1136/ard.47.6.503
PMID:3382271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1003554/
Abstract

Two patients with rheumatoid arthritis developed pancytopenia during treatment with azathioprine 100 mg daily. In one patient this side effect occurred after three weeks, in the other after eight weeks of treatment. Rapid fall of platelets in one patient necessitated platelet transfusion. In the other patient additional treatment with allopurinol was probably responsible for the toxic effect. Haematological side effects of azathioprine are discussed.

摘要

两名类风湿性关节炎患者在每日服用100毫克硫唑嘌呤治疗期间出现全血细胞减少。其中一名患者在治疗三周后出现这种副作用,另一名患者在治疗八周后出现。一名患者血小板迅速下降,需要进行血小板输注。另一名患者加用别嘌醇治疗可能是导致毒性作用的原因。本文讨论了硫唑嘌呤的血液学副作用。

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本文引用的文献

1
[Myelosuppression with macrocytic anaemia and leucopenia during treatment with azathioprine in myasthenia gravis].
Dtsch Med Wochenschr. 1982 Oct 22;107(42):1592-4. doi: 10.1055/s-2008-1070172.
2
Rheumatoid arthritis: treatment with azathioprine (IMURAN (R)). Clinical side-effects and laboratory abnormalities.类风湿性关节炎:硫唑嘌呤(依木兰)治疗。临床副作用及实验室异常情况。
Ann Rheum Dis. 1982;41 Suppl 1(Suppl 1):44-7. doi: 10.1136/ard.41.suppl_1.44.
3
[Pancytopenia following combination treatment with allopurinol and azathioprine].[别嘌醇与硫唑嘌呤联合治疗后出现的全血细胞减少症]
Med Welt. 1976 Aug 13;27(33):1545-6.
4
Azathioprine-induced pure red blood cell aplasia.
JAMA. 1978 Aug 11;240(6):552-4.