Pleural Solitary Fibrous Tumor Complicated with Autoimmune Hemolytic Anemia

We herein report a 74-year-old woman who presented with autoimmune hemolytic anemia (AIHA) associated with pleural solitary fibrous tumor (SFT). Her AIHA was initially treated with 1 mg/kg daily of oral prednisolone (PSL) for 2 months, which had a limited effect. However, after surgical tumor resect...

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Veröffentlicht in:	Internal Medicine 2014, Vol.53(14), pp.1549-1552
Hauptverfasser:	Takahashi, Hiroshi, Ohkawara, Hiroshi, Ikeda, Kazuhiko, Harada-Shirado, Kayo, Furukawa, Miki, Sukegawa, Masumi, Shichishima-Nakamura, Akiko, Noji, Hideyoshi, Wakamatsu, Saho, Tasaki, Kazuhiro, Suzuki, Hiroyuki, Ogawa, Kazuei, Takeishi, Yasuchika
Format:	Artikel
Sprache:	eng
Schlagworte:	Administration, Oral Aged Anemia, Hemolytic, Autoimmune - diagnosis Anemia, Hemolytic, Autoimmune - drug therapy Anemia, Hemolytic, Autoimmune - etiology autoimmune hemolytic anemia Diagnosis, Differential Dose-Response Relationship, Drug Female Glucocorticoids - administration & dosage Humans Prednisolone - administration & dosage Radiography, Thoracic solitary fibrous tumor Solitary Fibrous Tumor, Pleural - complications Solitary Fibrous Tumor, Pleural - diagnosis Solitary Fibrous Tumor, Pleural - surgery Thoracic Surgical Procedures - methods Tomography, X-Ray Computed
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Beschreibung
Zusammenfassung:	We herein report a 74-year-old woman who presented with autoimmune hemolytic anemia (AIHA) associated with pleural solitary fibrous tumor (SFT). Her AIHA was initially treated with 1 mg/kg daily of oral prednisolone (PSL) for 2 months, which had a limited effect. However, after surgical tumor resection, the patient showed remarkable improvement of AIHA with normalizations of serum lactate dehydrogenase and bilirubin levels, and we were able to rapidly reduce the PSL dosage. This is the first description of a case of AIHA caused by SFT.
ISSN:	0918-2918 1349-7235
DOI:	10.2169/internalmedicine.53.2121