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10.1016/s1386-6532(00)00179-7

http://scihub22266oqcxt.onion/10.1016/s1386-6532(00)00179-7
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11166667!ä!11166667

suck abstract from ncbi


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pmid11166667      J+Clin+Virol 2001 ; 20 (3): 173-8
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  • Chronic autoimmune thrombopenia/neutropenia in a boy with persistent parvovirus B19 infection #MMPMID11166667
  • Scheurlen W; Ramasubbu K; Wachowski O; Hemauer A; Modrow S
  • J Clin Virol 2001[Feb]; 20 (3): 173-8 PMID11166667show ga
  • OBJECTIVE: We report an 11-year-old boy presenting with splenomegaly, chronic thrombocytopenia and concordant neutropenia. RESULTS: In contrast to autoantibodies against platelets, there were no detectable neutrophil-specific autoantibodies present in this patient. Extensive serologic investigations revealed increased IgM- and IgG-antibody titers against parvovirus B19. A nested polymerase chain reaction (PCR) showed parvovirus B19-specific sequences in the patient's bone-marrow cells but not in the serum. Specific antibodies against the structural proteins VP1 and VP2 in addition to those against non-structural protein NS1 of parvovirus B19 were detected by Western blot analysis. Thrombocytopenia and neutropenia responded to immunosuppressive therapy and subsequent splenectomy, the latter being necessary due to severe side-effects of steroid medication. CONCLUSION: Autoimmune thrombocytopenia/neutropenia may have been triggered and/or sustained by a chronic parvovirus B19 infection. Patients with this very rare disorder should be screened for this virus.
  • |Antibodies, Viral/blood[MESH]
  • |Autoimmune Diseases/therapy/*virology[MESH]
  • |Blotting, Western[MESH]
  • |Child[MESH]
  • |Chronic Disease[MESH]
  • |Humans[MESH]
  • |Immunosuppressive Agents/pharmacology/therapeutic use[MESH]
  • |Male[MESH]
  • |Neutropenia/therapy/*virology[MESH]
  • |Parvoviridae Infections/drug therapy/*virology[MESH]
  • |Parvovirus B19, Human/drug effects/*pathogenicity[MESH]
  • |Polymerase Chain Reaction[MESH]
  • |Serologic Tests[MESH]


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