Autoimmunity is often implicated in pure red-cell aplasia. Approximately10 to 15 percent of patients with pure red-cell aplasia havethymomas,1 and remission of the anemia occurs in 25 to 30 percentof these patients after the thymoma is removed.2 In other patientsthere are immunologic abnormalities, such as hypogammaglobulinemia,3monoclonal immunoglobulins,4 antithyroid antibodies,5 antinuclearantibodies,6,7 and autoimmune hemolytic anemia.3,8 Immunosuppressivetherapy is successful in many patients,2,9,10,11,12 and a goodresponse to plasmapheresis has been reported in two patients.13,14
In 1967 Krantz and Kao reported that plasma from a patient withpure red-cell aplasia inhibited heme synthesis by normal bone. . . [Full Text of this Article]
Case Report
Methods
Bone Marrow Cultures
Measurement of Serum Erythropoietin
Binding of 125I-Labeled Erythropoietin
Deglycosylation Studies
Results
Discussion
Source Information
From the Department of Hematology, Hôpital R. Poincaré, Garches (N.C.); the Department of Hematology, Hôpital Lariboisière, Paris (E.D., P.M.-S., G.T.); the Department of Hematology, Hôpital Necker, Paris (B.V.); INSERM Unité 362, Villejuif (N.C.); and Institut Cochin de Génétique Moléculaire, INSERM Unité 363, Paris (P.M.) all in France.
Address reprint requests to Dr. Casadevall at the Department of Hematology, Hôpital R. Poincaré, 104 Blvd. Raymond Poincaré, 92 380 Garches, France.
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