| Case Reports : A case of systemic lupus erythematosus associated with Hashimoto's thyroiditis and aplastic anemia |
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Oh Kyung Kwon, Jae Hoon Jung, Young Mo Lee, Ki Ryang Na, Deog Yeon Jo, Kang Wook Lee, Young Tai Shin |
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한림의대 한강성심병원 내과 |
| 증례 : 전신홍반루푸스에 병발된 하시모토 갑상선염과 재생불량성 빈혈 1예 |
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권오경, Jae Hoon Jung, Young Mo Lee, Ki Ryang Na, Deog Yeon Jo, Kang Wook Lee, Young Tai Shin |
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| Abstract |
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We report a 45-year-old female who presented with azotemia, pancytopenia, pericardial effusion, hypothyroidism, decreased complement and positive ANA and was diagnosed as systemic lupus erythematosus (SLE). She referred to our hospital for the evaluation of azotemia. Bone marrow findings were compatible with aplastic anemia and Hashimoto's thyroiditis was diagnosed. After 3 days of methylprednisolone pulse therapy, the aplastic anemia responded and started to improve. She is visiting our clinic on a regular interval and showing good response to maintenance therapy. Hashimoto's thyroiditis is not rare in SLE, and aplastic anemia is relatively rare in SLE but, SLE that is combined with Hashimoto's thyroiditis and aplastic anemia simultaneously, has not been reported as far as our knowledge concerned. So, we report a case of successful treatment of SLE combined with Hashimoto's thyroiditis and aplastic anemia by steroid and thyroxine.(Korean J Med 70:715-718, 2006)
Key Words : Aplastic anemia, Systemic lupus erythematosus, Hashimoto's disease |
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