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원발성 자가면역 골수섬유증 1예

A Case of Primary Autoimmune Myelofibrosis

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초록

Primary autoimmune myelofibrosis, the development of which is not preceded by a well-defined autoimmune disease, has recentlybeen defined as a distinct clinicopathologic syndrome. We report herein a case of a 68-year-old woman who was diagnosedwith primary autoimmune myelofibrosis and present a review of the literature. The patient manifested peripheral pancytopenia, waspositive for autoantibodies, and developed myelofibrosis with no preceding autoimmune or hematologic disorders. Her conditionwas dramatically improved after administration of prednisolone.

Abstract

Primary autoimmune myelofibrosis, the development of which is not preceded by a well-defined autoimmune disease, has recentlybeen defined as a distinct clinicopathologic syndrome. We report herein a case of a 68-year-old woman who was diagnosedwith primary autoimmune myelofibrosis and present a review of the literature. The patient manifested peripheral pancytopenia, waspositive for autoantibodies, and developed myelofibrosis with no preceding autoimmune or hematologic disorders. Her conditionwas dramatically improved after administration of prednisolone.

참고문헌 (11)

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  2. 박순호, "원발성자가면역골수섬유증 1예", Blood Research, 44(3), pp.157~162 (2009), 대한혈액학회
  3. Rizzi R, "Autoimmune myelofibrosis: report of three cases and review of the literature", Leuk Lymphoma, 45, pp.561~566 (2004)
  4. Bass RD, "Pathology of autoimmune myelofibrosis: a report of three cases and a review of the literature", Am J Clin Pathol, 116, pp.211~216 (2001)
  5. Santos FP, "Primary autoimmune myelofibrosis in a 36-year-old patient presenting with isolated extreme anemia", Leuk Res, 34, pp.e35~37 (2010)
  6. Paquette RL, "Autoimmune myelofibrosis: a steroid-responsive cause of bone marrow fibrosis associated with systemic lupus erythematosus", Medicine (Baltimore), 73, pp.145~152 (1994)
  7. Nakao T, "Transient myelofibrosis with autoimmune pancytopenia: a case report", Eur J Pediatr, 168, pp.1003~1006 (2009)
  8. Nichols B, "Fatal systemic nonuremic calciphylaxis in a patient with primary autoimmune myelofibrosis", Int J Dermatol, 50, pp.870~874 (2011)
  9. Barbui T, "Disease characteristics and clinical outcome in young adults with essential thrombocythemia versus early", prefibrotic primary myelofibrosis, 2012, pp.120, 569~571
  10. Thiele J, "Acute panmyelosis with myelofibrosis: a clinicopathological study on 46 patients including histochemistry of bone marrow biopsies and follow-up", Ann Hematol, 83, pp.513~521 (2004)
  11. Petri M, "Derivation and validation of the Systemic Lupus International Collaborating Clinics classification criteria for systemic lupus erythematosus", Arthritis Rheum, 64, pp.2677~2686 (2012)

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