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    Leuk Res. 2008 May;32(5):823-7. Epub 2007 Oct 29.

    Acquired amegakaryocytic thrombocytopenia and pure red cell aplasia associated with an occult large granular lymphocyte leukemia.

    Source

    VA Greater Los Angeles Health Care System, Los Angeles, CA 90095-1678, United States.

    Abstract

    Acquired amegakaryocytic thrombocytopenia and pure red cell aplasia rarely occur concurrently. We report a case in which these disorders were associated with an occult large granular lymphocyte leukemia. The peripheral blood cytopenias improved after glucocorticoids and intravenous immunoglobulin were administered, and response was maintained with cyclosporine. Large granular lymphocyte leukemia should be suspected in the setting of unexplained bone marrow failure.

    PMID:
    17915315
    [PubMed - indexed for MEDLINE]

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