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| 장기간 Azathioprine을 복용한 신이식환자에서 발생한 골수이형성 증후군 |
| 권혁상 , 윤성노 , 이승헌 , 양철우 , 김용수 , 김석영 , 최의진 , 방병기 |
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| Abstract |
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A 39-year-old renal transplant recipient was admitted for evaluation of pancytopenia which de- veloped gradually 10 months ago. He received renal transplantation 10 years ago and maintained relatively good renal function. Since 1 year before admission, he showed progressive decline of hematocrit, WBC eount and platelet. Initial bone marrow biopsy showed erythroid hypoplasia, and second bone marrow biopsy revealed myelodysplasia. Clinical course was fatal. In conclusion, if patients with long term azathioprine treatment show progressive pancytopenia, one should suspect the possibility of myelodysplastic syndrome. |
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