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. 2014 Apr 15;7(5):2624–2635.

Table 2.

Reports of AIHA associated with PRCA

Case Age/sex Treatment of AIHA Outcome of AIHA Complication Treatment of complications Outcome of the complications Interval between the onset of AIHA and the onset of PRCA Cause of PRCA Treatment of PRCA Outcome of PRCA Note Ref.
1 46/M ACTH Improvement None None None Simultaneous None ACTH Improvement [1]
Splenectomy Splenectomy
2 58/F Cortisone Improvement None None None -9 M None ACTH Cortisone Improvement [2]
Splenectomy Splenectomy
3 15/F Cortisone Improvement None None None 8 M Contrast media? Cortisone No improvement [3]
Splenectomy
4 63/n.a Cortisone Improvement Lymphoma Cortisone Improvement Simultaneous None Cortisone Improvement Hypergammaglobulinemia [4]
Nitrogen mustard Nitrogen mustard Nitrogen mustard
5 n.a n.a n.a n.a n.a n.a n.a n.a n.a n.a [5]
6 76/M PSL 30 mg Improvement None None None -1 M and 3 W None PSL 30 mg Improvement [6]
7 68/M PSL 30 mg Improvement None None None Simultaneous None PSL 30 mg Recurrence after improvement [6]
Death from Tb
8 51/M mPSL 60 mg Improvement None None None Simultaneous None mPSL 60 mg Improvement [7]
ACTH ACTH
9 56/F PSL 60 mg Improvement SLE PSL 60 mg n.a 7 M SLE PSL 100 mg Improvement [8]
10 71/M PSL 60 mg Improvement Lymphoma PSL 60 mg Improvement Simultaneous Lymphoma PSL 60 mg Improvement Polyclonal hypergammaglobulinemia [9]
VCR RA VCR Death from pneumonia and subacute hepatitis Cold agglutinins
AZP 50 mg AZP 50 mg
Anabolic hormone 200 mg every other day Anabolic hormone 200 mg every other day
11 66/F COP Improvement Lymphoma COP Improvement Simultaneous Lymphoma COP Improvement [10]
12 67/M PSL Improvement B-CLL Chlorambucil Improvement 32 M None PSL Improvement [11]
Immunoadsorption PSL Immunoadsorption
13 12/M n.a n.a n.a n.a n.a Simultaneous HPV B19 None Improvement [12]
14 1/n.a n.a n.a n.a n.a n.a n.a None n.a n.a [13]
15 0.5/n.a n.a n.a n.a n.a n.a n.a None n.a n.a [13]
16 12/n.a n.a n.a n.a n.a n.a n.a HPV B19 n.a n.a [13]
17 58/M Cortisone Improvement None None None -6 y Thymoma Cortisone Improvement [14]
Thymectomy
18 33/F PSL Improvement None None None 8 Y HPV B19 PSL Improvement [15]
CPA
19 41/F PSL 60 mg Improvement HA n.a Improvement Simultaneous HA PSL 60 mg Improvement [16]
20 61/M COP Improvement Lymphoma COP n.a Simultaneous Lymphoma COP No improvement Polyclonal hypergammaglobulinemia [17]
CPA 50 mg CPA 50 mg CPA 50 mg
PSL 80 mg PSL 80 mg PSL 80 mg
IVIG IVIG IVIG
MACOPB MACOPB MACOPB
21 54/F PSL 60 mg Improvement None None None Simultaneous HPV B19 PSL 60 mg Improvement Normal immunoglobulin [18]
22 52/F PSL 60 mg Improvement Lymphoma Chemotherapy Death from leukemic transformation -6 M None PSL 60 mg Improvement [19]
23 35/F PSL 50 mg Improvement None None None 4 Y None PSL Improvement Monoclonal gammopathy [20]
mPSL
AZP 100 mg
24 28/F PSL 1 mg/kg n.a SLE PSL 1 mg/kg n.a Simultaneous None PSL 1 mg/kg Improvement Polyclonal hypergammaglobulinemia [21]
IVIG
25 62/F PSL 1 mg/kg No improvement Lymphoma PSL 1 mg/kg No improvement Simultaneous Lymphoma PSL 1 mg/kg No improvement [22]
IVIG IVIG IVIG Death from sepsis
CsA CsA CsA
Anti-lymphocyte antibodies Anti-lymphocyte antibodies Anti-lymphocyte antibodies
Splenectomy Splenectomy Splenectomy
26 53/M CHOP Improvement Lymphoma CHOP Improvement Simultaneous Lymphoma CHOP Improvement Hypergammaglobulinemia [23]
Auto Auto Auto
27 21/F Cortisone 1.5 mg/kg Improvement HA n.a Improvement Simultaneous HPV B19 Cortisone 1.5 mg/kg Improvement [24]
IVIG β-thalassemia IVIG
CsA CsA
28 56/F PSL 50 mg Improvement Lymphoma CHOP Improvement Simultaneous None PSL 50 mg Improvement [25]
29 54/F CHOP Improvement Lymphoma R-CHOP Improvement Simultaneous Thymoma CHOP Improvement [26]
PSL 1 mg/kg PSL 1 mg/kg
30 40/F mPSL pulse Improvement Evan’s syndrome mPSL pulse Improvement 6 y HPV B19 Plasmapheresis Improvement Hypogammaglobulinemia [27]
AZP 100 mg/day AZP 100 mg/day IVIG
CsA 300 mg/day CsA 300 mg/day
Splenectomy Splenectomy
Plasmapheresis Plasmapheresis
31 n.a/n.a PSL 1 mg/kg Repeated exacerbations and remissions Evan’s syndrome Splenectomy Improvement n.a HPV B19 IVIG Repeated exacerbations and remissions Hypogammaglobulinemia [28]
Rituxan MPGN
32 71/F THP-COP Improvement Lymphoma THP-COP Improvement Simultaneous Lymphoma THP-COP Improvement Polyclonal hypergammaglobulinemia [29]
PSL 40 mg PSL 40 mg
33 54/F mPSL pulse Improvement Lymphoma R-CHOP Improvement Simultaneous Lymphoma mPSL pulse Improvement Polyclonal hypergammaglobulinemia [30]
Plasmapheresis Auto Plasmapheresis
R-CHOP R-CHOP
Auto Auto
34 28/F Cortisone 15-20 mg n.a Retinal detachment Surgery Improvement n.a HPV B19 Cortisone 15-20 mg n.a [31]
IVIG IVIG
35 33/F mPSL pulse Improvement Evan’s syndrome PSL Improvement -22 D HPV B19 PSL Improvement Polyclonal hypergammaglobulinemia [32]
PSL 60 mg DM Insulin CsA
Hashimoto’s disease
36 42/F PSL 40 mg Improvement SLE PSL 40 mg n.a Simultaneous SLE PSL 40 mg Improvement [33]
mPSL pulse mPSL pulse mPSL pulse
MZB MZB MZB
37 26/F PSL 50 mg Improvement None None None 3 W None PSL 50 mg Improvement [34]
AZP
38 47/M PSL 60 mg Improvement Congenital chromosomal abnormality/balanced reciprocal translocation None None 24 M HPV B19 PSL 60 mg Improvement Hypogammaglobulinemia The present case
Simultaneous with recurrent AIHA mPSL pulse

AIHA autoimmune hemolytic anemia, PRCA pure red cell aplasia, M man, ACTH adenocorticotropic hormone, F female, M month, n.a not available, PSL prednisolone, W week, Tb tubercle bacillus, mPSL methylprednisolone, SLE systemic lupus erythematosus, VCR vincristine sulfate, AZP azathioprine, RA rheumatoid arthritis, COP cyclophosphamide, vincristine, and prednisolone, B-CLL B cell-type chronic lymphocytic leukemia, HPV B19 human parvovirus B19, Y year, CPA cyclophosphamide, HA hepatitis A. IVIG intravenous immunoglobulin, MACOPB methotrexate, doxorubicin, cyclophosphamide, vincristine, prednisolone, and bleomycin, CsA cyclosporine A, CHOP cyclophosphamide, doxorubicin, vincristine, and prednisolone, MPGN membrano proliferative glomerulonephritis, THP-COP pirarubicin vincristine, and prednisolone, Auto autologous peripheral blood stem cell transplantation, R-CHOP rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone, DM diabetes mellitus, D day, MZB mizoribine.