Acquired Chronic Pure Red Cell Aplasia Successfully Treated with Intravenous Pulse Methylprednisolone Therapy.

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概要

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• A 65-year-old male patient developed acquired chronic pure red cell aplasia (PRCA) associated with hypergammaglobulinemia and positive Coombs' test during the treatment of eosinophilic pneumonia with prednisolone (PSL). His PRCA was treated with oral PSL at a dose of 60mg/day for 3 weeks, but anemia further progressed. Immediately after high-dose intravenous pulse methylprednisolone therapy (1g/day for 3 days) however, reticulocyte crisis ocurred and his anemia rapidly improved. He has been in complete remission under a maintenance dose of PSL for more than 2 years. This patient indicates that high-dose intravenous methylprednisolone therapy is one of the useful treatments, not only for constitutional PRCA, but also for acquired chronic PRCA.(Internal Medicine 31 : 1277-1280, 1992)

• 社団法人　日本内科学会の論文

著者

• MIYAIRI Akira

  The Department of Internal Medicine, Tokai University School of Medicine

• ARIMORI Shigeru

  the Department of Internal Medicine, Tokai University School of Medicine

• UCHIYAMA Mitsuaki

  the Department of Internal Medicine, Tokai University School of Medicine

• ICHIKAWA Yukinobu

  the Department of Internal Medicine, Tokai University School of Medicine

• KOMATSUDA Mitsumoto

  the Department of Internal Medicine, Tokai University School of Medicine

関連論文

• Plasma Free Catecholamine Level during Hemopurification in a Case of Pheochromocytoma.
• Acquired Chronic Pure Red Cell Aplasia Successfully Treated with Intravenous Pulse Methylprednisolone Therapy.
• Diaphragmatic Electrical Activity during Controlled and Assisted Mechanical Ventilation in Conscious Human Subjects.

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