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重组α-干扰素引发的溶血性贫血

Hemolytic anemia provoked by recombinant alpha-interferon.

作者信息

Takase K, Nakano T, Hamada M, Shiraki K, Oohashi Y, Kihira T, Tameda Y

机构信息

First Department of Internal Medicine, Mie University School of Medicine, Japan.

出版信息

J Gastroenterol. 1995 Dec;30(6):795-7. doi: 10.1007/BF02349651.

DOI:10.1007/BF02349651
PMID:8963402
Abstract

A 30-year-old female with chronic hepatitis C treated with recombinant alpha-interferon developed serious hemolytic anemia after receiving 10 million units a day for 4 weeks. The results of Coombs' tests were negative before and after interferon therapy. The hemolytic anemia gradually improved after the withdrawal of recombinant alpha-interferon and the administration of methyl-prednisolone. The clinical course suggested that the recombinant alpha-interferon had provoked the hemolytic anemia.

摘要

一名30岁的慢性丙型肝炎女性患者,接受重组α干扰素治疗,每天1000万单位,治疗4周后出现严重溶血性贫血。干扰素治疗前后库姆斯试验结果均为阴性。停用重组α干扰素并给予甲泼尼龙后,溶血性贫血逐渐改善。临床病程提示重组α干扰素引发了溶血性贫血。

相似文献

1
Hemolytic anemia provoked by recombinant alpha-interferon.重组α-干扰素引发的溶血性贫血
J Gastroenterol. 1995 Dec;30(6):795-7. doi: 10.1007/BF02349651.
2
Chronic hepatitis C complicated by Coombs-negative hemolytic anemia during interferon treatment.
Intern Med. 1994 May;33(5):300-2. doi: 10.2169/internalmedicine.33.300.
3
[Exacerbation of an autoimmune thrombocytopenic purpura during treatment with interferon alpha in a woman with chronic viral hepatitis C].[一名慢性丙型病毒性肝炎女性在接受α干扰素治疗期间自身免疫性血小板减少性紫癜病情加重]
Gastroenterol Clin Biol. 1996;20(3):303-6.
4
[Autoimmune hemolytic anemia reactivated by alpha-interferon therapy in a case of chronic active C-type hepatitis].[α-干扰素治疗慢性活动性丙型肝炎时引发自身免疫性溶血性贫血1例]
Rinsho Ketsueki. 1995 Apr;36(4):339-46.
5
Hemolytic anemia secondary to interferon treatment for chronic B hepatitis.慢性乙型肝炎干扰素治疗继发的溶血性贫血。
J Clin Gastroenterol. 1991 Oct;13(5):596-7.
6
[Autoimmune hemolytic anemia presenting during treatment of chronic hepatitis C with interferon alpha].
Ann Ital Med Int. 2003 Apr-Jun;18(2):107-10.
7
Granulomatous hepatitis in a patient with chronic hepatitis C treated with interferon-alpha.
Dig Dis Sci. 1997 Jul;42(7):1445-8. doi: 10.1023/a:1018806508474.
8
Re: life-threatening severe immune thrombocytopenia after alpha-interferon therapy for chronic hepatitis C infection.关于:丙型肝炎病毒慢性感染患者接受α干扰素治疗后出现危及生命的严重免疫性血小板减少症
Am J Gastroenterol. 1996 Apr;91(4):821-2.
9
Ischemic colitis during interferon-alpha treatment for chronic active hepatitis C.慢性丙型肝炎患者接受α干扰素治疗期间出现的缺血性结肠炎
J Gastroenterol. 1996 Aug;31(4):582-4. doi: 10.1007/BF02355061.
10
Breakthrough of interferon therapy.干扰素治疗的突破。
Am J Gastroenterol. 1996 Oct;91(10):2249-50.

本文引用的文献

1
Immune thrombocytopenia following alpha-interferon therapy in patients with cancer.癌症患者接受α干扰素治疗后出现的免疫性血小板减少症。
JAMA. 1985 Sep 13;254(10):1353-4.
2
Effects of interferon-alpha on the expression of a lupus idiotype in normal humans.α干扰素对正常人体内狼疮独特型表达的影响。
Clin Immunol Immunopathol. 1986 Mar;38(3):327-36. doi: 10.1016/0090-1229(86)90242-4.
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Alpha-interferon and immune hemolytic anemia.α-干扰素与免疫性溶血性贫血
Ann Intern Med. 1986 Aug;105(2):306. doi: 10.7326/0003-4819-105-2-306_1.
4
Treatment of chronic non-A,non-B hepatitis with recombinant human alpha interferon. A preliminary report.用重组人α干扰素治疗慢性非甲非乙型肝炎。初步报告。
N Engl J Med. 1986 Dec 18;315(25):1575-8. doi: 10.1056/NEJM198612183152503.
5
Interferon-induced parotitis and epididymitis.干扰素诱导的腮腺炎和附睾炎。
Lancet. 1985 Sep 7;2(8454):561. doi: 10.1016/s0140-6736(85)90508-2.
6
Primary hypothyroidism associated with interferon therapy of breast cancer.原发性甲状腺功能减退症与乳腺癌的干扰素治疗相关。
Lancet. 1985 May 18;1(8438):1166. doi: 10.1016/s0140-6736(85)92475-4.
7
Side effects of alpha interferon.α干扰素的副作用。
Semin Liver Dis. 1989 Nov;9(4):273-7. doi: 10.1055/s-2008-1040523.
8
Autoimmunity after alpha-interferon therapy for malignant carcinoid tumors.
Ann Intern Med. 1991 Aug 1;115(3):178-83. doi: 10.7326/0003-4819-115-3-178.
9
Hemolytic anemia secondary to interferon treatment for chronic B hepatitis.慢性乙型肝炎干扰素治疗继发的溶血性贫血。
J Clin Gastroenterol. 1991 Oct;13(5):596-7.