title: Corticosteroid-responsive pure red cell aplasia in rheumatoid arthritis and its association with pregnancy: a case report.
abstract: Pure red cell aplasia (PRCA) often occurs secondary to drug therapy for rheumatoid arthritis (RA). However, idiopathic PRCA in RA is very rare. Though different immunosuppressive therapies have been tried in the past with variable responses, there has been no case report in adults of favourable response to corticosteroids alone. We report a rare case of PRCA in RA, which responded to steroid therapy. Subsequently, the patient relapsed twice, during the first trimester of consecutive pregnancies. The association of PRCA with RA and pregnancy is discussed.
authors.affiliation: Department of Hemato-Oncology, Tata Memorial Hospital, Tata Memorial Centre, Parel, Bombay, India.
authors.forename: S D
authors.initials: SD
authors.lastname: Banavali
authors.forename: P M
authors.initials: PM
authors.lastname: Parikh
authors.forename: B S
authors.initials: BS
authors.lastname: Charak
authors.forename: S
authors.initials: S
authors.lastname: Agarwala
authors.forename: A
authors.initials: A
authors.lastname: Modi
authors.forename: R
authors.initials: R
authors.lastname: Iyer
authors.forename: T
authors.initials: T
authors.lastname: Saikia
authors.forename: R
authors.initials: R
authors.lastname: Gopal
authors.forename: S H
authors.initials: SH
authors.lastname: Advani
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000328:Adult; D001172:Arthritis, Rheumatoid / Q000150:complications*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D011261:Pregnancy Trimester, First; D012008:Recurrence; D012010:Red-Cell Aplasia, Pure / Q000150:complications / Q000188:drug therapy*
chemical_list: D000305:Adrenal Cortex Hormones