Literature DB >> 16230187

Pegylated interferon alpha-2a-associated life-threatening Evans' syndrome in a patient with chronic hepatitis C.

Olivier Lambotte1, Moana Gelu-Simeon, Gwenola Maigne, Rami Kotb, Catherine Buffet, Jean François Delfraissy, Cécile Goujard.   

Abstract

In this report, we describe an unusual and unreported complication with the new licensed form of pegylated interferon alpha2a (PEG-IFN-alpha2a). We report the first case of severe autoimmune cytopenias, an Evans' syndrome, in a patient with chronic hepatitis C, 2 months after PEG-IFN-alpha2a initiation. Haemolytic anaemia and thrombocytopenia developed, complicated by gastric bleeding and brain haemorrhage. Outcome was favourable under immunosuppressive treatment. Treatment with PEG-IFN-alpha2a requires careful follow-up, as IFNalpha can induce or exacerbate autoimmune diseases.

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Year:  2004        PMID: 16230187     DOI: 10.1016/j.jinf.2004.10.010

Source DB:  PubMed          Journal:  J Infect        ISSN: 0163-4453            Impact factor:   6.072


  6 in total

1.  Interferon-alpha induced severe thrombocytopenia: a case report and review of the literature.

Authors:  Li Li; Da-Kang Han; Jun Lu
Journal:  World J Gastroenterol       Date:  2010-03-21       Impact factor: 5.742

2.  Severe immune thrombocytopenia after peg-interferon-alpha2a, ribavirin and telaprevir treatment completion: A case report and systematic review of literature.

Authors:  Rosario Arena; Paolo Cecinato; Andrea Lisotti; Federica Buonfiglioli; Claudio Calvanese; Giuseppe Grande; Marco Montagnani; Francesco Azzaroli; Giuseppe Mazzella
Journal:  World J Hepatol       Date:  2015-06-28

3.  Short-term intravenous interferon therapy for chronic hepatitis B.

Authors:  Hiroaki Okushin; Toru Ohnishi; Kazuhiko Morii; Koichi Uesaka; Shiro Yuasa
Journal:  World J Gastroenterol       Date:  2008-05-21       Impact factor: 5.742

4.  Late-Onset Immune Thrombocytopenic Purpura After Withdrawal of Interferon Treatment for Chronic Hepatitis C Infection: A Case Report.

Authors:  Chien-Hao Hsiao; Kuo-Chih Tseng; Chih-Wei Tseng; Chien-Hsueh Tung
Journal:  Medicine (Baltimore)       Date:  2015-08       Impact factor: 1.817

5.  Evans syndrome in a patient with COVID-19.

Authors:  Monica Li; Charles B Nguyen; Zachary Yeung; Katherine Sanchez; Daniel Rosen; Sita Bushan
Journal:  Br J Haematol       Date:  2020-06-18       Impact factor: 8.615

Review 6.  Evans syndrome: clinical perspectives, biological insights and treatment modalities.

Authors:  José Carlos Jaime-Pérez; Patrizia Elva Aguilar-Calderón; Lorena Salazar-Cavazos; David Gómez-Almaguer
Journal:  J Blood Med       Date:  2018-10-10
  6 in total

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