Autologous Bone Marrow Transplantation for Polymyositis Combined with Myasthenia Gravis and Aplastic Anemia: A Case Report

被引:4
作者
Mitsumune, Sho [1 ]
Manabe, Yasuhiro [1 ]
Yunoki, Taijun [1 ]
Kono, Shyoichiro [1 ]
Aoyama, Kazutoshi [2 ]
Shinno, Yoko [3 ]
Narai, Hisashi [1 ]
Abe, Koji [4 ]
机构
[1] Natl Hosp Org Okayama Med Ctr, Dept Neurol, Okayama, Japan
[2] Natl Hosp Org Okayama Med Ctr, Dept Hematol, Okayama, Japan
[3] Natl Hosp Org Okayama Med Ctr, Clin Lab, Okayama, Japan
[4] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Neurol, Okayama, Japan
关键词
Polymyositis; Myasthenia gravis; Aplastic anemia; Bone marrow transplantation;
D O I
10.1159/000488476
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This is the first report about a patient with concomitant polymyositis (PM), myasthenia gravis (MG), and aplastic anemia (AA). A 54-year-old male developed myalgia and muscle weakness, which gradually progressed over 2 months. He was persistently affected by MG and AA. Brachium magnetic resonance imaging showed increased signal intensity in the left triceps and deltoid muscles on short tau inversion recovery images. A muscle biopsy examination revealed perifascicular atrophication and inflammatory myopathy. We diagnosed the patient with PM combined with MG and AA. He was successfully treated with an autologous bone marrow transplantation (BMT). The present case suggests that BMT is a therapeutic option for PM, MG, and AA. (C) 2018 The Author(s) Published by S. Karger AG, Basel
引用
收藏
页码:108 / 111
页数:4
相关论文
共 9 条
[1]   Effective treatment of Jo-1-associated polymyositis with T-cell-depleted autologous peripheral blood stem cell transplantation [J].
Baron, F ;
Ribbens, C ;
Kaye, O ;
Fillet, G ;
Malaise, M ;
Beguin, Y .
BRITISH JOURNAL OF HAEMATOLOGY, 2000, 110 (02) :339-342
[2]   Myasthenia Gravis Treated With Autologous Hematopoietic Stem Cell Transplantation [J].
Bryant, Adam ;
Atkins, Harold ;
Pringle, C. Elizabeth ;
Allan, David ;
Anstee, Grizel ;
Bence-Bruckler, Isabelle ;
Hamelin, Linda ;
Hodgins, Michael ;
Hopkins, Harry ;
Huebsch, Lothar ;
McDiarmid, Sheryl ;
Sabloff, Mitchell ;
Sheppard, Dawn ;
Tay, Jason ;
Bredeson, Christopher .
JAMA NEUROLOGY, 2016, 73 (06) :652-658
[3]   Assessment of thymic output in adults after haematopoietic stem-cell transplantation and prediction of T-cell reconstitution [J].
Douek, DC ;
Vescio, RA ;
Betts, MR ;
Brenchley, JM ;
Hill, BJ ;
Zhang, L ;
Berenson, JR ;
Collins, RH ;
Koup, RA .
LANCET, 2000, 355 (9218) :1875-1881
[4]  
Gaglia A, 2007, ANTICANCER RES, V27, P3025
[5]   Essential role of the thymus to reconstitute naive (CD45RA(+)) T-helper cells after human allogeneic bone marrow transplantation [J].
Heitger, A ;
Neu, N ;
Kern, H ;
PanzerGrumayer, ER ;
Greinix, H ;
Nachbaur, D ;
Niederwieser, D ;
Fink, FM .
BLOOD, 1997, 90 (02) :850-857
[6]   Bone marrow transplantation for autoimmune diseases [J].
Ikehara, S .
ACTA HAEMATOLOGICA, 1998, 99 (03) :116-132
[7]   Thymoma-associated dermatomyositis and polymyositis [J].
Nagasawa, K .
INTERNAL MEDICINE, 1999, 38 (02) :81-82
[8]   The co-existence of myasthenia gravis in patients with myositis: A case series [J].
Paik, Julie J. ;
Corse, Andrea M. ;
Mammen, Andrew L. .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 2014, 43 (06) :792-796
[9]   Myasthenia gravis and polymyositis as manifestations of chronic graft-versus-host-disease [J].
Tse, S ;
Saunders, EF ;
Silverman, E ;
Vajsar, J ;
Becker, L ;
Meaney, B .
BONE MARROW TRANSPLANTATION, 1999, 23 (04) :397-399