TREATMENT OF NEUTROPENIA IN FELTYS SYNDROME WITH GRANULOCYTE-MACROPHAGE COLONY-STIMULATING FACTOR - HEMATOLOGICAL RESPONSE ACCOMPANIED BY PULMONARY COMPLICATIONS WITH LETHAL OUTCOME

被引:4
作者
GARIBAI, AR [1 ]
ROCHLITZ, C [1 ]
RIEWALD, M [1 ]
OERTEL, J [1 ]
HUHN, D [1 ]
机构
[1] FREE UNIV BERLIN,DEPT INTERNAL MED,DIV HEMATOL ONCOL,W-1000 BERLIN 19,GERMANY
关键词
NEUTROPENIA; FELTYS SYNDROME; PULMONARY COMPLICATION; GM-CSF;
D O I
10.1007/BF01703951
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report on a 67-year-old man with Felty's syndrome (FS) complicated by recurrent pneumonia and an infected wound, which was not healing in spite of maximal antibiotic and local therapy. Encouraged by previous experience, we treated him with granulocyte-macrophage colony-stimulating factor (GM-CSF). His total leukocyte count rose, but the patient's pneumonia deteriorated. In addition, a previously known chronic obstructive lung disease (COLD) was exacerbated acutely. These complications finally led to his death. Postmortem examination revealed widespread pneumonia with invasive aspergillosis and a peripheral adenocarcinoma in his left lung.
引用
收藏
页码:232 / 235
页数:4
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