Hemophagocytic syndrome as primary manifestation in a patient with systemic lupus erythematosus after parturition.
Year: 2009
Type: article
Study design: Case Report
Abstract: A 33-year-old woman presented with fever, malar rash, lymphadenopathy and pancytopenia 3 weeks after parturition. Serum C3 level was decreased and antinuclear antibody, anti-dsDNA antibody and anti-SS-A antibody were positive. Serum ferritin level was elevated (3454 ng/ml), and bone marrow aspirate revealed hemophagocytosis. She was diagnosed having systemic lupus erythematosus (SLE) associated with hemophagocytic syndrome (HPS). Oral prednisolone (55 mg/day) was initiated. Clinical manifestations and pancytopenia were improved and serum ferritin level was decreased. However, elevated anti-dsDNA antibody titer and reduced C3 level continued for a month after steroid therapy. The additional therapy of tacrolimus (3 mg/day) improved clinical and laboratory findings. This is a rare SLE case associated with HPS as primary manifestation after parturition.
DOI: 10.2177/jsci.32.66
Authors: Shuzo YOSHIDA, Tohru TAKEUCHI, Yasuo ITAMI, Kenichiro HATA, Koko WATANABE, Takeshi SHODA, Takuya KOTANI, Shigeki MAKINO, Toshiaki HANAFUSA
Institution: Osaka Medical and Pharmaceutical University
Language: Japanese
Subfield: Hematology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2025517833