A CASE OF SJOGRENS-SYNDROME COMPLICATING IMMUNE-MEDIATED APLASTIC-ANEMIA

被引:5
作者
SATOH, M
YAMAGATA, H
WATANABE, F
MATSUSHITA, Y
NAKAYAMA, S
MURAKAMI, M
MATSUYAMA, J
OSHIMA, S
AKIZUKI, M
机构
[1] School of Medicine, Department of Medicine, Division of Rheumatology and Immunology, The University of North Carolina at Chapel Hill, Chapel Hill, 27599-7280, N.C.
[2] Department of Laboratory Medicine, National Murayama Hospital
[3] Department of Medicine, Keio University School of Medicine, Tokyo
关键词
APLASTIC ANEMIA; SJOGRENS SYNDROME; ANTI-SSA/RO ANTIBODIES; ANTI-SSB/LA ANTIBODIES; ANTINUCLEAR ANTIBODIES; BONE MARROW STEM CELL CLONAL ASSAY;
D O I
10.1007/BF02231538
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 78-year-old Japanese woman with Sjogren's syndrome complicating immune-mediated aplastic anaemia is described. A diagnosis of aplastic anaemia was made from severe pancytopenia with hypoplastic marrow. Laboratory studies suggested an association of bone marrow suppressive T-lymphocytes with the pathogenesis of aplastic anaemia. Following the administration of mepithiostan and prednisolone, pancytopenia improved gradually. Two years after the onset of aplastic anaemia, Raynaud's phenomenon developed and examinations revealed the existence of keratoconjunctivitis sicca and anti-SSA/Ro and anti-SSB/La antibodies.
引用
收藏
页码:257 / 260
页数:4
相关论文
共 14 条
[1]  
Fox R.I., Howell F.V., Bone R.C., Michelson P., Primary Sjögren's syndrome: clinical and immunopathologic features, Semin Arthritis Rheum, 16, pp. 77-105, (1984)
[2]  
Budman D.R., Steinberg A.D., Hematologic aspects of systemic lupus erythematosus, current concepts, Ann Intern Med, 86, pp. 220-229, (1977)
[3]  
Camitta B.M., Storb R., Thomas E.D., Aplastic anemia-pathogenesis, diagnosis, treatment, and prognosis, N Engl J Med, 306, pp. 645-652, (1982)
[4]  
Broder S., Waldmann T., The supressor-cell network in cancer, N Engl J Med, 299, pp. 1281-1284, (1978)
[5]  
Kassan S.S., Thomas T.L., Mountpoulos H.M., Et al., Increased risk of lymphoma in sicca syndrome, Ann Intern Med, 89, pp. 888-892, (1978)
[6]  
Fye K.H., Daniels T.E., Zulman J., Michalski J.P., Jaffe R., Talal N., Aplastic anaemia and lymphoma in Sjögren's syndrome, Arthritis Rheum, 23, pp. 1321-1325, (1980)
[7]  
Yoshida H., Wakashin M., Okuda K., Successful treatment of aplastic anaemia associated with chronic thyroiditis and Sjögren's syndrome, J Rheumatol, 13, pp. 1189-1190, (1986)
[8]  
Kohama T., Handa H., Harigaya K., A burst-promoting activity derived from the human bone marrow stromal cell line KM-102 is identical to the granulocyte-macrophage colony stimulating factor, Exp Hematol, 16, pp. 603-608, (1988)
[9]  
Abdou N.I., Verdirame J.D., Amare M., Abdou N.L., Heterogeneity of pathogenetic mechanisms in aplastic anaemia, Ann Intern Med, 95, pp. 43-50, (1981)
[10]  
Fitchen J.J., Cline M.J., Saxon A., Golde D.W., Serum inhibitors of hematopoiesis in a patient with aplastic anaemia and systemic lupus erythematosus, Am J Med, 66, pp. 537-542, (1979)