rhG‐CSFとoxymetholoneによる治療を行ったShwachman症候群の1例

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  • A Case of Shwachman Syndrome Treated with rhG-CSF and Oxymetholone.

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A 2-month-old boy was hospitalized with severe cough, anemia, liver dysfunction and neutropenia. He was diagnosed as having Shwachman syndrome based on the laboratory findings of anemia, neutropenia, mild thrombocytopenia, and pancreatic insufficiency. Bone marrow examination showed a decrease in the counts of nuclear cells. During the clinical course, he developed sepsis, and was treated with antibiotics and recombinant human granulocyte colony-stimulating factor (rhG-CSF). As soon as the number of neutrophils improved, he became well. To maintain the number of neutrophils and to treat anemia, rhG-CSF (50μg/m2, 3 times/week) and oxymetholone (2 mg/kg/day) were administered. Severe bacterial infection was prevented and anemia gradually improved without any other treatment.

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