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A rare case of combined immunodeficiency with cytopenia whose symptoms were controlled by cyclosporine
Journal article   Open access   Peer reviewed

A rare case of combined immunodeficiency with cytopenia whose symptoms were controlled by cyclosporine

OXFORD MEDICAL CASE REPORTS, v 2022(5), omac055
01 May 2022
PMID: 35619687
url
https://doi.org/10.1093/omcr/omac055View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Combined Immunodeficiency (CID) is a group of inborn error of Immunity (IEI) that may present with both infectious and non-infectious complications. Autoimmunity is an unusual presentation of CID and can be presented as cytopenia. The initial management of cytopenia is corticosteroids and IVIG. The role of other cytotoxic and immunosuppressive drugs in management of cytopenia is not fully understood. The objective of this clinical case report is to highlight the possibly beneficial role of cyclosporine in controlling cytopenia in CID patients. A 26-month-old child with generalized ecchymosis was referred to Mofid Children's Hospital in Tehran, Iran. Physical examination revealed no substantial findings other than ecchymosis, and complete blood count (CBC) revealed thrombocytopenia. Diagnosis of CID and cytopenia followed. The patient was treated by 5 times prednisolone and 4 times Rituximab. Finally, his ecchymosis was controlled by Cellcept, which was then tempered and substituted by cyclosporine.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Immunology
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