Pierre Fenaux, MD; Stéphane Merignargues, MD; Dominique Pagniez, MD; Anne Janin, MD; Damien Lucidarme, MD; Francis Bauters, MD
To the editor: Balaban and colleagues (1) have reported an unusual case of a patient who had two uncommon clinical findings, cutaneous sclerosis and aplastic anemia. Because both conditions responded to antithymocyte globulin therapy, this therapy may be effective in cutaneous sclerosis. We report a similar case with a different outcome.
A 69-year-old woman was referred in September 1987 for pancytopenia, epistaxis, and gingival bleeding. During the previous year, she had the Raynaud phenomenon and increasing tightness of the skin over the abdomen, arms, and thighs. In these areas, the skin was thickened and indurated in large plaques; abnormal pigmentation,
Fenaux P, Merignargues S, Pagniez D, Janin A, Lucidarme D, Bauters F. Cutaneous Sclerosis, Aplastic Anemia, and Antithymocyte Globulin. Ann Intern Med. 1989;110:575–576. doi: 10.7326/0003-4819-110-7-575_2
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Published: Ann Intern Med. 1989;110(7):575-576.
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