摘要目的提高对系统性红斑狼疮继发纯红细胞再生障碍(pure red cell aplasia,PRCA)的诊断和治疗认识。方法报道系统性红斑狼疮继发PRCA病例1例,观察患者对甲泼尼龙联合环孢素治疗的疗效。结果使用甲泼尼龙联合环孢素治疗后,系统性红斑狼疮继发PRCA患者血红蛋白恢复良好。结论大多数系统性红斑狼疮继发PRCA患者对糖皮质激素和免疫抑制剂联合治疗反应良好。
3Hara A,Wada T,Kitajima S,et al.Combined pure red cellaplasia and autoimmune hemolytic anemia in systemic lupuserythematosus with anti-erythropoietin autoantibodies. American Journal of Hematology . 2008
5Orbach H,Ben-Yehuda A,Ben-Yehuda D,et al.Successfultreatment of pure red cell aplasia in systemic lupuserythematosus with erythropoietin. The Journal of Rheumatology . 1995
6Meyer,RJ,Hoffman,R,Zanjani,ED.Autoimmune hemolytic anemia and periodic pure red cell aplasia in systemic lupus erythematosus. The American Journal of Medicine . 1978
7Dessypris,EN,Krantz,SB,Roloff,JS,Lukens,JN.Mode of action of the IgG inhibitor of erythropoiesis in transient erythroblastopenia of childhood. Blood . 1982
8Casadevall N,Dupuy E,Molho-Sabatier P,Tobelem G,Varet B,Mayeux P.Autoantibodies against erythropoietin in a patient with pure red-cell aplasia. The New England Journal of Medicine . 1996
9Schett G,Firbas U,Fureder W.Decreased serum erythropoietin and its relation to anti-erthopoietin antibodies in anemia of systemic lupus erythematosus. Hematology . 2001
10HABIB G S,SALIBA W R,FROOM P.Pure red cell aplasia and lupus. Seminars in Arthritis and Rheumatism . 2002