EJMCR |

Case Report

Volume: 4 | Issue: 4 | Published: May 05, 2020 | Pages: 123 - 125 | DOI: 10.24911/ejmcr/173-1566719209

Systemic Lupus Erythematosus associated refractory pancytopenia responding only to intravenous immunoglobulins

Authors: Tahir Iqbal , Wajahat Sultan Baig , Saamia Arshad , Sara Altaf Awan

Authors

Tahir Iqbal

Department of Medicine, Shifa College of Medicine (Shifa Tameer e Millat University), Consultant Medical Specialist, Shifa International Hospital, Islamabad, Pakistan

Wajahat Sultan Baig

Senior Registrar, Department of Medicine, Shifa College of Medicine(Shifa Tameer e Millat University), Islamabad, Pakistan

Saamia Arshad

4th year Medical student in MBBS Program, Ayub Medical College, Abbottabad, Pakistan

Sara Altaf Awan

Post Graduate Resident, Haematology Department, Shifa International Hospital, Islamabad, Pakistan

Publication History

Received: August 26, 2019

Accepted: April 23, 2020

Published: May 05, 2020

Abstract

Background: We, here, describe the case of Systemic Lupus Erythematosus (SLE) with pancytopenia, refractory to steroids immunosuppressive therapy, and plasmapharesis that ultimately responded to intravenous immunoglobulins (IVIG). To the best of our knowledge, very few cases of this type have been reported in literature. Case presentation: A 40-year-old female presented with complaints of hematemesis, hematochezia, gum bleed, epistaxis, menorrhagia, and fever. After careful examination and investigation she was diagnosed with SLE associated with pancytopenia refractory to conventional means of treatment. Pancytopenia responds normally to steroids and immunosuppressive agents in these patients however our patient responded only to IVIG. Conclusion: This case report highlights the fact that early use of Intravenous immunoglobulins in patients of SLE with severe and refractory pancytopenia can prevent morbidity and mortality..

Keywords: SLE, pancytopenia, intravenous immunoglobulins, case report, green

Pubmed Style

Tahir Iqbal, Wajahat Sultan Baig, Saamia Arshad, Sara Altaf Awan. Systemic Lupus Erythematosus associated refractory pancytopenia responding only to intravenous immunoglobulins. EJMCR. 2020; 05 (May 2020): 123-125. doi:10.24911/ejmcr/173-1566719209

Web Style

Tahir Iqbal, Wajahat Sultan Baig, Saamia Arshad, Sara Altaf Awan. Systemic Lupus Erythematosus associated refractory pancytopenia responding only to intravenous immunoglobulins. https://ejmcr.com/articles/1437 [Access: November 23, 2024]. doi:10.24911/ejmcr/173-1566719209

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Tahir Iqbal, Wajahat Sultan Baig, Saamia Arshad, Sara Altaf Awan. Systemic Lupus Erythematosus associated refractory pancytopenia responding only to intravenous immunoglobulins. EJMCR. (2020), [cited November 23, 2024]; 05 (May 2020): 123-125. doi:10.24911/ejmcr/173-1566719209

Harvard Style

Tahir Iqbal, Wajahat Sultan Baig, Saamia Arshad, Sara Altaf Awan (2020) Systemic Lupus Erythematosus associated refractory pancytopenia responding only to intravenous immunoglobulins. EJMCR, 05 (May 2020): 123-125. doi:10.24911/ejmcr/173-1566719209

Chicago Style

Tahir Iqbal, Wajahat Sultan Baig, Saamia Arshad, Sara Altaf Awan. "Systemic Lupus Erythematosus associated refractory pancytopenia responding only to intravenous immunoglobulins." 05 (2020), 123-125. doi:10.24911/ejmcr/173-1566719209

MLA (The Modern Language Association) Style

Tahir Iqbal, Wajahat Sultan Baig, Saamia Arshad, Sara Altaf Awan. "Systemic Lupus Erythematosus associated refractory pancytopenia responding only to intravenous immunoglobulins." 05.May 2020 (2020), 123-125. Print. doi:10.24911/ejmcr/173-1566719209

APA (American Psychological Association) Style

Tahir Iqbal, Wajahat Sultan Baig, Saamia Arshad, Sara Altaf Awan (2020) Systemic Lupus Erythematosus associated refractory pancytopenia responding only to intravenous immunoglobulins. , 05 (May 2020), 123-125. doi:10.24911/ejmcr/173-1566719209