KMID : 0939920100420020115
|
|
´ëÇѾÏÇÐȸÁö 2010 Volume.42 No. 2 p.115 ~ p.117
|
|
A Case of Pure Red Cell Aplasia Associated with Angioimmunoblastic T-cell Lymphoma
|
|
Choi Jung-Hye
Oh Young-Ha Park Ile-Kyu
|
|
Abstract
|
|
|
Pure red cell aplasia is a bone marrow failure characterized by a progressive normocytic anemia and reticulocytopenia without leucopenia and thrombocytopenia. It is associated with various hematologic diseases. However, pure red cell aplasia with angioimmunoblastic T cell lymphoma has rarely been reported. Here we describe a 43-year-old woman with pure red cell aplasia associated with angioimmunoblastic T-cell lymphoma. She had severe anemia (hemoglobin 6.9 g/dL) and a low reticulocyte count (0.2%). Direct and indirect Coombs¡¯ tests were positive. A CT scan of the abdomen revealed marked hepatosplenomegaly and small multiple lymphadenopathies. A bone marrow biopsy revealed focal infiltration of abnormal lymphoid cells and absence of red cell precursors. Splenic biopsy was compatible with angioimmunoblastic T-cell lymphoma. Ultimately, diagnosis of pure red cell aplasia associated with angioimmunoblastic T-cell lymphoma was made. After initiating CHOP therapy, the patient achieved complete remission, which was accompanied, shortly thereafter, by a rise in hemoglobin levels which finally returned to normal.
|
|
KEYWORD
|
|
Red-cell aplasia, Pure, Lymphoma, T-cell
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|