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Japanese Journal of Clinical Oncology 21:384-387 (1991)
© 1991 Foundation for Promotion of Cancer Research

case-report

Pure Red Cell Aplasia Associated with Non-Hodgkin's Lymphoma and Hemolytic Anemia

Akira Suzuki1,2,*, Takayuki Takahashi1, Ataru Taniguchi2, Chikao Kotake2, Toshihiko Seo2, Tsunenori Toda2, Katsuya Kobayashi2, Noboro Tsukamoto3 and Manabu Fukumoto4

1Second Department of Internal Medicine Kyoto University 54 Shogoin Kawaharacho, Sakyo-ku, Kyoto 606
2Department of Internal Medicine, Saiseikai Nakatsu Hospital 10-39 Shibata 2-chome, Kita-ku, Osaka 563
3Third Department of Internal Medicine, Nara Prefectural Medical School 840 Shijocho, Kashiwara, Nara 634
4First Department of Pathology, Faculty of Medicine, Kyoto University 54 Shogoin Kawaharacho, Sakyo-ku, Kyoto 606

*For reprints and all correspondence

Received November 5, 1990; accepted May 28, 1991

Pure red cell aplasia (PRCA) rarely occurs in non-thymic lymphoproliferative disorders. The present article describes a patient with non-Hodgkin's lymphoma (follicular, mixed type), who concurrently developed PRCA and warm type autoimmune hemolytic anemia during the clinical course. The PRCA and hemolytic anemia were successfully treated with prednisolone (60 mglday). The patient died two years later, however, from advanced lymphoma without any recurrence of the PRCA or hemolytic anemia. To our knowledge, only 20 cases of PRCA associated with malignant lymphoma have been reported. The pathogeneses of the PRCA and hernolytic anemia in our patient are discussed.

Key Words: Malignant lymphoma • Non-Hodgkin's lymphoma • Pure red cell aplasia • Hemolytic anemia


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