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Pernicious anemia in a young man with systemic lupus erythematosus.

机译:一名患有系统性红斑狼疮的年轻人的恶性贫血。

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摘要

Association of pernicious anemia and systemic lupus erythematosus is rare, although both diseases are autoimmune origin. We describe the case of a 40-year old man with systemic lupus erythematosus (SLE) who developed pernicious anemia. The cobalamin deficiency was revealed by macrocytic pancytopenia. After 1 month of vitamin B12 treatment, hemoglobin and white blood cell count remain normal but thrombocytopenia persists and was considered as immunologic from SLE origin requiring corticosteroids.
机译:尽管这两种疾病都是自身免疫性疾病,但恶性贫血与系统性红斑狼疮的相关性很少。我们描述了一名患有系统性红斑狼疮(SLE)的40岁男子的案例,该男子发生了恶性贫血。钴胺素缺乏症由大细胞全血细胞减少症揭示。维生素B12治疗1个月后,血红蛋白和白细胞计数保持正常,但血小板减少症仍然存在,并且被认为是SLE起源的需要皮质类固醇的免疫学药物。

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