rdf:type |
|
lifeskim:mentions |
|
pubmed:issue |
4
|
pubmed:dateCreated |
2011-6-30
|
pubmed:abstractText |
Anemia, leukopenia, and/or thrombocytopenia can occur as a result of non-immune- and immune-mediated mechanisms in patients with systemic lupus erythematosus. Although the differential diagnosis of these cytopenias is broad and warrants a thorough evaluation, lupus disease activity and medications are common etiologic factors. Corticosteroids are the mainstay of initial treatment for immune-mediated hemolytic anemia and severe thrombocytopenia; immunosuppressive agents such as mycophenolate mofetil or azathioprine are often added for their steroid-sparing effects. Rituximab and intravenous immunoglobulin can be considered for refractory cytopenias based on a large body of anecdotal evidence and case series. Newer biologic agents such as belimumab or epratuzumab have yet to be studied specifically in systemic lupus erythematosus-mediated hematologic disorders.
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pubmed:language |
eng
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pubmed:journal |
|
pubmed:citationSubset |
IM
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pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
Aug
|
pubmed:issn |
1534-6307
|
pubmed:author |
|
pubmed:issnType |
Electronic
|
pubmed:volume |
13
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
291-9
|
pubmed:meshHeading |
pubmed-meshheading:21503695-Anemia,
pubmed-meshheading:21503695-Antibodies, Monoclonal, Murine-Derived,
pubmed-meshheading:21503695-Azathioprine,
pubmed-meshheading:21503695-Glucocorticoids,
pubmed-meshheading:21503695-Humans,
pubmed-meshheading:21503695-Immunoglobulins, Intravenous,
pubmed-meshheading:21503695-Immunosuppressive Agents,
pubmed-meshheading:21503695-Leukopenia,
pubmed-meshheading:21503695-Lupus Erythematosus, Systemic,
pubmed-meshheading:21503695-Mycophenolic Acid,
pubmed-meshheading:21503695-Pancytopenia,
pubmed-meshheading:21503695-Thrombocytopenia
|
pubmed:year |
2011
|
pubmed:articleTitle |
Clinical assessment and management of cytopenias in lupus patients.
|
pubmed:affiliation |
Division of Rheumatology, Hospital for Special Surgery, Weill Medical College of Cornell University, NY 10021, USA. levinea@hss.edu
|
pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
|