Thymoma-associated pancytopenia: effectiveness of cyclosporine A.
Ann Hematol
; 77(4): 175-8, 1998 Oct.
Article
in En
| MEDLINE
| ID: mdl-9829850
ABSTRACT
Aplastic anemia is a rare complication of thymoma and is properly documented in only few cases. Here, we report the case of a previously healthy, 65-year-old patient who was found simultaneously to have a spindle-cell thymoma and severe hypoplastic anemia with a mild infiltration of the bone marrow by CD4+ and CD8+ T lymphocytes, CD16+ natural killer cells, and a decrease in blood CD4/CD8 ratio. Cultures of marrow erythroid progenitors demonstrated serum inhibitor. While steroids, cyclophosphamide and antilymphocyte globulin failed to improve hematopoiesis, cyclosporine A (Cy-A) led to a partial, stable remission that was sustained for 4 years. Since Cy-A has been associated with good responses in three cases of thymoma-associated red cell aplasia, we recommend its use in cases of thymoma-associated cytopenias refractory to steroids and cyclophosphamide.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pancytopenia
/
Thymoma
/
Thymus Neoplasms
/
Cyclosporine
/
Immunosuppressive Agents
Type of study:
Risk_factors_studies
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
Ann Hematol
Journal subject:
HEMATOLOGIA
Year:
1998
Type:
Article
Affiliation country:
France