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
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container_end_page 1552
container_issue 14
container_start_page 1549
container_title Internal Medicine
container_volume 53
creator 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
description 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.
doi_str_mv 10.2169/internalmedicine.53.2121
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subjects 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
title Pleural Solitary Fibrous Tumor Complicated with Autoimmune Hemolytic Anemia
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