Successful Treatment of Primary Sjögrens Syndrome with Chronic Natural Killer Lymphocytosis by High-Dose Prednisolone and Indomethacin Farnesil
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概要
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We report a patient with Sjögrens 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.
著者
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Mimori Tsuneyo
Department Of Internal Medicine Keio University School Of Medicine
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Fujii Takao
Department Of Applied Life Science Faculty Of Biotechnology And Life Science Sojo University
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Fujita Yoshimasa
Department Of Hematology And Immunology Kanazawa Medical University
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Tanaka Masao
Department Of Biology Faculty Of Science Kyushu University
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Fujita Yoshimasa
Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University
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Takeda Naho
Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University
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Tanaka Masao
Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University
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