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Rheumatology 2001; 40: 828-829
© 2001 British Society for Rheumatology

Letters to the Editor

Haemophagocytic syndrome in a systemic lupus erythematosus patient with antiphospholipid antibodies

M. Nawata, J. Suzuki, K. Ikeda, S. Ando, M. Koike, I. Sekigawa, N. Iida, R. Wada1, M. Matsumoto1, K. Oshimi2 and H. Hashimoto3

Department of Medicine, Juntendo University Izu-Nagaoka Hospital, Shizuoka,
1 Department of Pathology, Juntendo University, Izu-Nagaoka Hospital, Shizuoka,
2 Department of Hematology, Juntendo University School of Medicine, Tokyo and
3 Department of Internal Medicine and Rheumatology, Juntendo University School of Medicine, Tokyo, Japan

SIR, Reactive haemophagocytic syndrome (HPS) has been found in patients with autoimmune diseases (autoimmune-associated haemophagocytic syndrome; AAHS), including SLE (acute lupus haemophagocytic syndrome; ALHS) [1, 2]. In addition, we recently encountered an antiphospholipid antibody (aPL)-positive systemic lupus erythematosus (SLE) patient who had HPS and autoimmune haemolytic anaemia (AIHA).

This patient was a 21-yr-old woman who was admitted to our hospital complaining of malaise and fever for 1 week. On admission she had severe pancytopenia, with a white . . . [Full Text of this Article]

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