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Published in: Rheumatology International 3/2007

01-01-2007 | Case Report

Successful treatment of acquired amegakaryocytic thrombocytopenia with cyclosporine in adult onset Still’s disease

Authors: Min-Young Her, Tae-Hwan Kim, Hyun-Kyu Chang, Woong-Soo Lee, Dae-Hyun Yoo

Published in: Rheumatology International | Issue 3/2007

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Abstract

Acquired amegakaryocytic thrombocytopenia (AAT) is a rare disorder, characterized by severe thrombocytopenia and selective, marked decrease or absence of megakaryocytes in the bone marrow. We describe a 29-year-old female with adult onset Still’s disease preceding a diagnosis of AAT and autoimmune hemolytic anemia, which was successfully treated with cyclosporine. This is the first case of AAT in a patient with adult onset Still’s disease.
Literature
1.
go back to reference Hoffman R (1991) Acquired pure amegakaryocytic thrombocytopenic purpura. Semin Hematol 28:303–312PubMed Hoffman R (1991) Acquired pure amegakaryocytic thrombocytopenic purpura. Semin Hematol 28:303–312PubMed
2.
go back to reference Chaudhary UB, Eberwine SF, Hege KM (2004) Acquired amegakaryocytic thrombocytopenia purpura and eosinophilic fasciitis: a long relapsing and remitting course. Am J Hematol 75:146–150PubMedCrossRef Chaudhary UB, Eberwine SF, Hege KM (2004) Acquired amegakaryocytic thrombocytopenia purpura and eosinophilic fasciitis: a long relapsing and remitting course. Am J Hematol 75:146–150PubMedCrossRef
3.
go back to reference Katsumata Y, Suzuki T, Kuwana M, Hattori Y, Akizuki S, Sugiura H, Matsuoka Y (2003) Anti-c-Mpl (thrombopoietin receptor) autoantibody-induced amegakaryocytic thrombocytopenia in a patient with systemic sclerosis. Arthritis Rheum 48:1647–1651PubMedCrossRef Katsumata Y, Suzuki T, Kuwana M, Hattori Y, Akizuki S, Sugiura H, Matsuoka Y (2003) Anti-c-Mpl (thrombopoietin receptor) autoantibody-induced amegakaryocytic thrombocytopenia in a patient with systemic sclerosis. Arthritis Rheum 48:1647–1651PubMedCrossRef
4.
go back to reference Kuwana M, Okazaki Y, Kajihara M, Kaburaki J, Miyazaki H, Kawakami Y, Ikeda Y (2002) Autoantibody to c-Mpl (thrombopoietin receptor) in systemic lupus erythematosus: relationship to thrombocytopenia with megakaryocytic hypoplasia. Arthritis Rheum 46:2148–2159PubMedCrossRef Kuwana M, Okazaki Y, Kajihara M, Kaburaki J, Miyazaki H, Kawakami Y, Ikeda Y (2002) Autoantibody to c-Mpl (thrombopoietin receptor) in systemic lupus erythematosus: relationship to thrombocytopenia with megakaryocytic hypoplasia. Arthritis Rheum 46:2148–2159PubMedCrossRef
5.
go back to reference Grom AA (2004) Natural killer cell dysfunction: a common pathway in systemic-onset juvenile rheumatoid arthritis, macrophage activation syndrome, and hemophagocytic lymphohistiocytosis? Arthritis Rheum 50:689–698PubMedCrossRef Grom AA (2004) Natural killer cell dysfunction: a common pathway in systemic-onset juvenile rheumatoid arthritis, macrophage activation syndrome, and hemophagocytic lymphohistiocytosis? Arthritis Rheum 50:689–698PubMedCrossRef
6.
go back to reference Pouchot J, Sampalis JS, Beaudet F, Carette S, Decary F, Salusinsky-Sternbach M, Hill RO, Gutkowski A, Harth M, Myhal D (1991) Adult Still’s disease: manifestations, disease course, and outcome in 62 patients. Medicine (Baltimore) 70:118–136 Pouchot J, Sampalis JS, Beaudet F, Carette S, Decary F, Salusinsky-Sternbach M, Hill RO, Gutkowski A, Harth M, Myhal D (1991) Adult Still’s disease: manifestations, disease course, and outcome in 62 patients. Medicine (Baltimore) 70:118–136
7.
go back to reference Domingues RB, da Gama AM, Caser EB, Musso C, Santos MC (2003) Disseminated cerebral thrombotic microangiopathy in a patient with adult’s still disease. Arq Neuropsiquiatr 61:259–261PubMed Domingues RB, da Gama AM, Caser EB, Musso C, Santos MC (2003) Disseminated cerebral thrombotic microangiopathy in a patient with adult’s still disease. Arq Neuropsiquiatr 61:259–261PubMed
8.
go back to reference Bray VJ, Singleton JD (1994) Disseminated intravascular coagulation in Still’s disease. Semin Arthritis Rheum 24:222–229PubMedCrossRef Bray VJ, Singleton JD (1994) Disseminated intravascular coagulation in Still’s disease. Semin Arthritis Rheum 24:222–229PubMedCrossRef
9.
go back to reference Quattrin N, Scalfi L (1963) Fatal subacute immuno-thrombocytopenia due to pure megakaryocytary aplasia. Acta Haematol 29:187–190PubMedCrossRef Quattrin N, Scalfi L (1963) Fatal subacute immuno-thrombocytopenia due to pure megakaryocytary aplasia. Acta Haematol 29:187–190PubMedCrossRef
10.
go back to reference Manoharan A, Williams NT, Sparrow R (1989) Acquired amegakaryocytic thrombocytopenia: report of a case and review of literature. Q J Med 70:243–252PubMed Manoharan A, Williams NT, Sparrow R (1989) Acquired amegakaryocytic thrombocytopenia: report of a case and review of literature. Q J Med 70:243–252PubMed
11.
go back to reference King JA, Elkhalifa MY, Latour LF (1997) Rapid progression of acquired amegakaryocytic thrombocytopenia to aplastic anemia. South Med J 90:91–94PubMed King JA, Elkhalifa MY, Latour LF (1997) Rapid progression of acquired amegakaryocytic thrombocytopenia to aplastic anemia. South Med J 90:91–94PubMed
12.
go back to reference Hoffman R, Briddell RA, van Besien K, Srour EF, Guscar T, Hudson NW, Ganser Al (1989) Acquired cyclic amegakaryocytic thrombocytopenia associated with an immunoglobulin blocking the action of granulocyte-macrophage colony-stimulating factor. N Engl J Med 321:97–102PubMedCrossRef Hoffman R, Briddell RA, van Besien K, Srour EF, Guscar T, Hudson NW, Ganser Al (1989) Acquired cyclic amegakaryocytic thrombocytopenia associated with an immunoglobulin blocking the action of granulocyte-macrophage colony-stimulating factor. N Engl J Med 321:97–102PubMedCrossRef
13.
go back to reference Nagasawa T, Sakurai T, Kashiwagi H, Abe T (1986) Cell-mediated amegakaryocytic thrombocytopenia associated with systemic lupus erythematosus. Blood 67:479–483PubMed Nagasawa T, Sakurai T, Kashiwagi H, Abe T (1986) Cell-mediated amegakaryocytic thrombocytopenia associated with systemic lupus erythematosus. Blood 67:479–483PubMed
14.
go back to reference Azuno Y, Yaga K (2002) Successful cyclosporin A therapy for acquired amegakaryocytic thrombocytopenic purpura. Am J Hematol 69:298–299PubMedCrossRef Azuno Y, Yaga K (2002) Successful cyclosporin A therapy for acquired amegakaryocytic thrombocytopenic purpura. Am J Hematol 69:298–299PubMedCrossRef
15.
go back to reference Khurana V, Bradley TP (1998) Adult-onset Still’s disease associated with G6PD deficiency: a case report and literature review. J Assoc Acad Minor Phys 9:56–58PubMed Khurana V, Bradley TP (1998) Adult-onset Still’s disease associated with G6PD deficiency: a case report and literature review. J Assoc Acad Minor Phys 9:56–58PubMed
16.
go back to reference Chung JW, Suh YJ, Song HJ, Choi JH, Park HS, Cho SR, Suh CH (2004) Pure red cell aplasia and adult-onset Still’s disease. Clin Rheumatol 23:368–370PubMedCrossRef Chung JW, Suh YJ, Song HJ, Choi JH, Park HS, Cho SR, Suh CH (2004) Pure red cell aplasia and adult-onset Still’s disease. Clin Rheumatol 23:368–370PubMedCrossRef
Metadata
Title
Successful treatment of acquired amegakaryocytic thrombocytopenia with cyclosporine in adult onset Still’s disease
Authors
Min-Young Her
Tae-Hwan Kim
Hyun-Kyu Chang
Woong-Soo Lee
Dae-Hyun Yoo
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
Rheumatology International / Issue 3/2007
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-006-0202-8

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