Table 1.

Clinical and laboratory data of the patients studied

Patient no.SexAge (y)Disease*Duration (mo)Previous medicationsAntibody specificityBone marrowPeripheral blood counts1-153
CellularityHb (g/dL)WBC (×109/L)Neutro (×109/L)Lympho (×109/L)Plt (×109/L)Ret (×109/L)
52 Idiopathic AIN 60 G-CSF ND Increased/hypercellular myeloid series with normal maturation 12.3 1.2 0.5 0.3 165 46 
58 AIN/Sjogren 12 None ND Normal/normal myeloid series 10.8 1.9 0.8 0.8 152 45 
20 AIN/thyroiditis 15 G-CSF anti-NA1 Normal/normal myeloid series 13.8 2.0 0.2 1.2 250 55 
25 Idiopathic AIN None anti-NA1 Increased/hypercellular myeloid series with left shift 10.5 2.3 0.7 1.4 154 45 
19 Idiopathic AIN/
pancytopenia 
66 PDN/γ-globulin anti-NA1 Increased/hypercellular myeloid series with left shift, increased Meg series 8.9 3.6 0.7 1.7 140 55 
anti-GPV  
35 Idiopathic AIHA PDN/γ-globulin  Markedly increased/hypercellular erythroid and Meg series 12.9 6.1 3.3 2.2 360 114 
46 ITP/AIHA 48 PDN/AZA anti-GPIIb/IIIa Mildly increased/hyperplasia of Meg series 12.0 7.5 4.5 1.6 63 65 
γ-globulin anti-GPIb/IX 
30 ITP None anti-GPIIb/IIIa Mildly increased/hyperplasia of Meg series 16.0 5.0 2.4 1.9 94 50 
24 ITP 28 PDN/AZA/CSA anti-GPIb/IX Mildly increased/hyperplasia of Meg series 12.0 2.7 1.9 0.4 87 60 
VCR/CAMPATH-1  
γ-globulin  
10 20 ITP/AIHA/Behcet disease 84 PDN ND Normal/slightly increased Meg series 12.1 4.4 2.3 1.7 173 55 
11 65 Primary PRCA1-155 48 PDN/AZA/CSA  Normal/near absence of erythroid series, normal myeloid and Meg series 6.1 4.6 1.7 1.6 110 35 
12 48 Primary PRCA1-155 24 PDN/ALG/CSA  Normal/reduced erythroid series, normal myeloid and Meg series 11.6 5.6 3.4 1.8 255 18 
13 30 Primary PRCA1-155 36 PDN/CSA  Normal/near absence of erythroid series, normal myeloid and Meg series 8.9 4.3 2.5 1.7 333 20 
14 34 Primary PRCA 24 PDN/CSA  Normal/absence of erythroid series, normal myeloid and Meg series 5.3 5.7 3.5 2.0 205 25 
15 34 Primary PRCA 14 PDN/CSA  Normal/reduced erythroid series, normal myeloid and Meg series 8.4 5.9 3.7 1.9 335 25 
Patient no.SexAge (y)Disease*Duration (mo)Previous medicationsAntibody specificityBone marrowPeripheral blood counts1-153
CellularityHb (g/dL)WBC (×109/L)Neutro (×109/L)Lympho (×109/L)Plt (×109/L)Ret (×109/L)
52 Idiopathic AIN 60 G-CSF ND Increased/hypercellular myeloid series with normal maturation 12.3 1.2 0.5 0.3 165 46 
58 AIN/Sjogren 12 None ND Normal/normal myeloid series 10.8 1.9 0.8 0.8 152 45 
20 AIN/thyroiditis 15 G-CSF anti-NA1 Normal/normal myeloid series 13.8 2.0 0.2 1.2 250 55 
25 Idiopathic AIN None anti-NA1 Increased/hypercellular myeloid series with left shift 10.5 2.3 0.7 1.4 154 45 
19 Idiopathic AIN/
pancytopenia 
66 PDN/γ-globulin anti-NA1 Increased/hypercellular myeloid series with left shift, increased Meg series 8.9 3.6 0.7 1.7 140 55 
anti-GPV  
35 Idiopathic AIHA PDN/γ-globulin  Markedly increased/hypercellular erythroid and Meg series 12.9 6.1 3.3 2.2 360 114 
46 ITP/AIHA 48 PDN/AZA anti-GPIIb/IIIa Mildly increased/hyperplasia of Meg series 12.0 7.5 4.5 1.6 63 65 
γ-globulin anti-GPIb/IX 
30 ITP None anti-GPIIb/IIIa Mildly increased/hyperplasia of Meg series 16.0 5.0 2.4 1.9 94 50 
24 ITP 28 PDN/AZA/CSA anti-GPIb/IX Mildly increased/hyperplasia of Meg series 12.0 2.7 1.9 0.4 87 60 
VCR/CAMPATH-1  
γ-globulin  
10 20 ITP/AIHA/Behcet disease 84 PDN ND Normal/slightly increased Meg series 12.1 4.4 2.3 1.7 173 55 
11 65 Primary PRCA1-155 48 PDN/AZA/CSA  Normal/near absence of erythroid series, normal myeloid and Meg series 6.1 4.6 1.7 1.6 110 35 
12 48 Primary PRCA1-155 24 PDN/ALG/CSA  Normal/reduced erythroid series, normal myeloid and Meg series 11.6 5.6 3.4 1.8 255 18 
13 30 Primary PRCA1-155 36 PDN/CSA  Normal/near absence of erythroid series, normal myeloid and Meg series 8.9 4.3 2.5 1.7 333 20 
14 34 Primary PRCA 24 PDN/CSA  Normal/absence of erythroid series, normal myeloid and Meg series 5.3 5.7 3.5 2.0 205 25 
15 34 Primary PRCA 14 PDN/CSA  Normal/reduced erythroid series, normal myeloid and Meg series 8.4 5.9 3.7 1.9 335 25 

Hgb indicates hemoglobin; WBC, white blood cells; Neutro, neutrophils; Lympho, lymphocytes; Plt, platelets; Ret, reticulocytes; AIN, autoimmune neutropenia; AIHA, autoimmune hemolytic anaemia; ITP, autoimmune thrombocytopenic purpura; PRCA, pure red cell aplasia; Meg series, megakaryocytic series; G-CSF, granulocyte-colony stimulating factor; PDN, prednisone; AZA, azathioprine; CSA, cyclosporin A; VCR, vincristine; ALG, antilymphocyte globulin; ND, not defined; NA1, neutrophil antigen 1; GP, platelet glycoprotein.

*

AIN diagnosis was based on the presence of specific antineutrophil antibodies in patient serum detected with chemilumonescence and immunofluorescence techniques.23 ITP diagnosis was based on the presence of antiplatelet antigens or anti-GP specific antibodies in patient sera and platelets detected by means of flow cytometry (platelet flow cytometric immunofluorescence technique; PIFT) and ELISA (monoclonal antibody immobilization of platelet antigen assay; MAIPA).24 

In cases of AIN and ITP.

At diagnosis.

F1-153

Performed at the time of study.

F1-155

Bone marrow T-cell receptor and immunoglobulin gene rearrangement studies had been performed to exclude clonality.

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