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Case Report

Successful treatment of acquired amegakaryocytic thrombocytopenia with eltrombopag and immunosuppressant

, , , , , , & show all
Pages 951-953 | Received 05 Oct 2021, Accepted 22 Nov 2021, Published online: 16 Dec 2021
 

Abstract

Acquired amegakaryocytic thrombocypenia (AAMT) is an extremely rare hematologic disorder and standard treatment strategy has not been established. We described herein two cases of AAMT who were fully responded to eltrombopag and immunosuppressant. Patient 1 was refractory to steroid, IVIG and recombinant human thrombopoietin (rhTPO). Patient 2 did not respond to high dosage of steroid, IVIG, rhTPO and rituximab. Moreover, his AAMT progressed to aplastic anemia in 5 months. Both patients took eltrombopag and immunosuppressant, then they achieved long-term remission without obvious side effects. Our findings suggest that this combination can be a valuable alternative in AAMT.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by National Natural Science Foundation of China (No.81600105, No. 81900151), Natural Science Foundation of Jiangsu Province (BK20190176, BK20180202) and Open project of NHC Key Laboratory of Thrombosis and Hemostasis (KJS2137).

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