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[Acquired aplastic anemia of the adult. Treatment of 2 cases]. / Anemia aplástica adquirida del adulto. Su tratamiento a propósito de dos casos.
Cabrera, M Elena; Pinto, Delia.
Afiliação
  • Cabrera ME; Departamento de Medicina, Campus Oriente, Facultad de Medicina, Universidad de Chile, Servicio de Medicina, Hospital del Salvador, Santiago, Av. Salvador 364, Santiago. mcabrera@mi-mail.cl
Rev Med Chil ; 131(12): 1439-43, 2003 Dec.
Article em Es | MEDLINE | ID: mdl-15022408
Severe aplastic anemia has an elevated mortality if treatment is unsatisfactory. Immunosuppression is the treatment of choice in adults, comparable with allogeneic bone marrow transplant in children. We report two adult patients (both males, aged 59 and 67 years old) who were treated successfully with lymphoglobulin and cyclosporine. The initial response started within 3 months of treatment and was almost complete after 2 years, when cyclosporine was stopped. After three years, both patients have almost normal blood counts, with minor sequels: avascular necrosis of both femoral heads due to the use steroids, that recovered spontaneously in 1 patient and reduced vision due to thrombocytopenic retinal hemorrhages, in the other.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ciclosporina / Imunossupressores / Anemia Aplástica / Soro Antilinfocitário Tipo de estudo: Etiology_studies Limite: Aged / Humans / Male / Middle aged Idioma: Es Revista: Rev Med Chil Ano de publicação: 2003 Tipo de documento: Article País de publicação: Chile
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ciclosporina / Imunossupressores / Anemia Aplástica / Soro Antilinfocitário Tipo de estudo: Etiology_studies Limite: Aged / Humans / Male / Middle aged Idioma: Es Revista: Rev Med Chil Ano de publicação: 2003 Tipo de documento: Article País de publicação: Chile