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001-es BibID:	BIBFORM094247
Első szerző:	Pinczés László Imre (általános orvos)
Cím:	The impact of autoimmune cytopenias on the clinical course and survival of Hodgkin lymphoma / Pinczés László Imre, Szabó Roxána, Miltényi Zsófia, Illés Árpád
Dátum:	2021
ISSN:	0925-5710 1865-3774
Megjegyzések:	The characteristics of autoimmune cytopenias (AICP) associated with Hodgkin lymphoma (HL) are not thoroughly defined. We retrospectively assessed the clinical features of HL-associated AICPs in 563 HL patients diagnosed over a period of 28 years. We identified 8 cases of autoimmune hemolytic anemia (AIHA) and 8 cases of autoimmune thrombocytopenia among 14 patients altogether. Four (26%) AICPs were present at lymphoma diagnosis, while 11 (74%) cytopenias occurred during follow-up after first-line therapy. The overall incidence of HL-associated AICPs was 2.8%. Nine (75%) cytopenias responded to intravenous steroids. Seven (46%) AICPs led to the diagnosis of HL, indicated a relapse, or revealed secondary malignancies. AIHAs and AICPs altogether were more likely to develop in patients with advanced-stage HL (p = 0.010 and p < 0.004, respectively). HL patients experiencing AICPs had an increased short-term (1-year) mortality compared to the general HL population (p < 0.022). The 5-year OS of HL patients with concurrent AICPs at diagnosis was inferior compared to HL patients developing AICPs during follow-up (p = 0.005), and to HL patients without AICPs (p < 0.001). Patients with HL-associated AICPs appear to have a particular disease-related profile. The association of HL and AICPs may increase short-term mortality, while patients with concurrent AICPs at HL diagnosis have a dismal prognosis.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Autoimmune hemolytic anemia Autoimmune thrombocytopenia Evans syndrome Hodgkin lymphoma Overall survival
Megjelenés:	International Journal Of Hematology. - 113 : 2 (2021), p. 175-182. -
További szerzők:	Szabó Roxána Miltényi Zsófia (1975-) (belgyógyász, haematológus) Illés Árpád (1959-) (belgyógyász, haematológus, onkológus)
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