A Case of Pure Red Cell Aplasia Associated with Pregnancy

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  • Ito Satoshi
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University
  • Ikuta Katsuya
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University
  • Yamamoto Masayo
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University
  • Okamura Naoka
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University
  • Ichiki Kazuhiro
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University
  • Sugiyama Junko
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University
  • Shindo Motohiro
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University
  • Torimoto Yoshihiro
    Oncology Center Asahikawa Medical University Hospital
  • Kohgo Yutaka
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University

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Other Title
  • 妊娠関連赤芽球癆の1例
  • 今月の症例 妊娠関連赤芽球癆の1例
  • コンゲツ ノ ショウレイ ニンシン カンレン セキ ガキュウロウ ノ 1レイ

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Abstract

赤芽球癆は選択的に赤血球系の産生のみが低下ないし欠損する疾患である．後天性赤芽球癆の原因には，胸腺腫，悪性腫瘍，自己免疫疾患，ウイルス感染，腎不全，薬剤などがある．症例は20歳代女性．妊娠26週に貧血を認め，骨髄検査で赤芽球系の著明な低形成を認め赤芽球癆を疑った．妊娠以外の原因を疑う所見はなく，赤血球輸血を行いながら妊娠を継続し，自然経腟分娩で出産した．その後，無治療で貧血は改善した．一連の経過より妊娠関連赤芽球癆と考えられた．<br>

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