Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Pivot Concepts:
Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Target Concepts:
Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Query: UMLS:C0024141 (
systemic lupus erythematosus
)
44,322
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Anaemia is prevalent in patients with
systemic lupus erythematosus
(
SLE
). The anaemia is often a consequence of the disease itself but may also be secondary to drug treatments. Mycophenolate mofetil (MMF) is increasingly used in the management of patients with
SLE
and its associated anaemia. We describe the case of a 19-year-old girl, who presented acutely with
SLE
and renal involvement. Her disease was controlled with immunosuppression but she later developed severe transfusion-dependent anaemia. Several causes were considered before a bone marrow biopsy led to the diagnosis of erythroid hypoplasia. In the absence of clinical or laboratory markers of active
lupus
, MMF was implicated as the cause. Its discontinuation led to a rapid and sustained correction of the anaemia.
Red cell aplasia
linked to the use of MMF is uncommon and the manufacturers are aware of fewer than 50 cases. This is the first case report of evolving red cell aplasia induced by MMF in
SLE
.
Lupus
2013 Feb
PMID:Mycophenolate mofetil-induced erythroid hypoplasia in a patient with systemic lupus erythematosus. 2325 6