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A Rare Case of Adult Autoimmune Neutropenia Successfully Treated with Prednisolone.


ABSTRACT: Autoimmune neutropenia (AIN) is a rare disorder that may cause life-threatening infections. In adults, most cases are secondary to other pathological conditions, and primary AIN is extremely rare. We herein report a case involving a 57-year-old woman diagnosed with AIN. A granulocyte immunofluorescence test detected autoantibodies against human neutrophil antigens in her serum, while various examinations revealed no other causes of neutropenia, suggesting her AIN was primary. She was refractory to granulocyte-colony-stimulating factor but responded to prednisolone. Her neutrophil count remained normal after gradual discontinuation of prednisolone. Diagnostic procedures and optimal treatments for this disorder need to be established.

SUBMITTER: Fujita M 

PROVIDER: S-EPMC5498209 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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A Rare Case of Adult Autoimmune Neutropenia Successfully Treated with Prednisolone.

Fujita Mari M   Kawabata Hiroshi H   Oka Tomomi T   Hishizawa Masakatsu M   Kitano Toshiyuki T   Kondo Tadakazu T   Yamashita Kohei K   Yurugi Kimiko K   Hirai Hideyo H   Maekawa Taira T   Takaori-Kondo Akifumi A  

Internal medicine (Tokyo, Japan) 20170601 11


Autoimmune neutropenia (AIN) is a rare disorder that may cause life-threatening infections. In adults, most cases are secondary to other pathological conditions, and primary AIN is extremely rare. We herein report a case involving a 57-year-old woman diagnosed with AIN. A granulocyte immunofluorescence test detected autoantibodies against human neutrophil antigens in her serum, while various examinations revealed no other causes of neutropenia, suggesting her AIN was primary. She was refractory  ...[more]

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