Pancytopenia in systemic lupus erythematosus related to azathioprine.

Nossent, J C; Swaak, A J · J Intern Med · 1990

case_report · Level V

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Abstract

A patient with systemic lupus erythematosus (SLE) developed pancytopenia when azathioprine (first 2.0 mg kg-1 day-1, then 2.5 mg kg-1 day-1) was added to prednisone for active SLE. This unusual toxic effect of azathioprine occurred during the reduction of corticosteroid dosage. After discontinuation of azathioprine, clinical and haematological recovery occurred.

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