1. Autoimmune pancytopenia following combination chemotherapy for chronic lymphocytic leukaemia: Figure 1
- Author
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Keith Gelly, D Brass, Sudhir Tauro, Mark Sales, Michael J. Groves, Stephanie F. MacCallum, and Joan Cunningham
- Subjects
Evans syndrome ,Cyclophosphamide ,business.industry ,Chronic lymphocytic leukemia ,Combination chemotherapy ,General Medicine ,Haemolysis ,medicine.disease ,Pancytopenia ,Autoimmune thrombocytopenia ,Pathology and Forensic Medicine ,Fludarabine ,immune system diseases ,hemic and lymphatic diseases ,Immunology ,medicine ,business ,medicine.drug - Abstract
Autoimmune haemolysis or thrombocytopenia can complicate purine nucleoside monotherapy for chronic lymphocytic leukaemia (CLL), but Evans syndrome is rare. This is a report of the occurrence of pancytopenia secondary to a unique combination of red cell aplasia with autoimmune thrombocytopenia and neutropenia in a patient with CLL following treatment with fludarabine and cyclophosphamide. This case is unusual for the simultaneous targeting of three haemopoietic lineages by immune dysfunction following fludarabine and cyclophosphamide, which is a treatment regimen believed to reduce autoimmune haematological toxicity in CLL.
- Published
- 2009