Table 2.
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.