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Corticosteroid Treatment of Pure Red Cell Aplasia in a Patient with Hepatitis A

Authors
Yoon, Young KyungPark, Dae WonSohn, Jang WookKim, Min JaKim, InsunMyung Hyun Nam
Issue Date
2012
Publisher
KARGER
Keywords
Anemia; Corticosteroid; Hemolytic anemia; Hepatitis A; Pure red cell aplasia
Citation
ACTA HAEMATOLOGICA, v.128, no.1, pp.60 - 63
Indexed
SCIE
SCOPUS
Journal Title
ACTA HAEMATOLOGICA
Volume
128
Number
1
Start Page
60
End Page
63
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/109345
DOI
10.1159/000337342
ISSN
0001-5792
Abstract
Secondary pure red cell aplasia (PRCA), as an extrahepatic manifestation of hepatitis A virus infection, has been reported on rare occasions. We report herein an unusual case of hepatitis A complicated by PRCA. In addition, we reviewed nine cases reported in the English literature. Our case of non-fulminant hepatitis A complicated by PRCA and hemolytic anemia was successfully treated with initial transfusion and corticosteroid therapy for 18 weeks. The patient's hematologic abnormalities and liver function tests re-normalized completely. We review clinical features and effective therapeutic strategies for this disease entity. Copyright (C) 2012 S. Karger AG, Basel
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