Report of a case of paroxysmal nocturnal hemoglobinuria (PNH) with complex evolution and liver transplant
Railene Célia B. Alencar, Andréa M. Guimarães, Lacy Cardoso de Brito
Abstract
Railene Célia B. Alencar, Andréa M. Guimarães, Lacy Cardoso de Brito
Abstract
ABSTRACT The paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired disease, with thrombotic episodes and frequent pancytopenia. We report the case of a 32 year-old female PNH patient with bone marrow aplasia, which followed a complex course, diagnosed with aplastic anemia associated with PNH, evolving in three years with Budd-Chiari syndrome and liver transplantation. Post-transplant complications, hepatic arterial thrombosis, graft rejection, liver retransplantation and treatment of PNH with eculizumab. Clinical stabilization and cessation of symptoms were achieved.
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ABSTRACT The paroxysmal nocturnal hemoglobinuria (PNH) is a rare acquired disease, with thrombotic episodes and frequent pancytopenia. We report the case of a 32 year-old female PNH patient with bone marrow aplasia, which followed a complex course, diagnosed with aplastic anemia associated with PNH, evolving in three years with Budd-Chiari syndrome and liver transplantation. Post-transplant complications, hepatic arterial thrombosis, graft rejection, liver retransplantation and treatment of PNH with eculizumab. Clinical stabilization and cessation of symptoms were achieved.
Key concepts: Paroxysmal nocturnal hemoglobinuria, Medicine, Hemoglobinuria, Eculizumab, Immunology, Hemolysis, Antibody, Complement system