What should be done about pure red cell aplasia?

Patient's question:

I know that I have been constantly suffering from headaches and dizziness. At first, I thought it was due to insufficient deep sleep. Later, I realized that even when I am in good spirits, I sometimes experience sudden dizziness. After a thorough examination at the hospital, the doctor told me that I have pure red cell aplastic anemia. How should I treat it?

Doctor's answer:

Pure red cell aplasia is common in middle-aged and elderly people. There may be a history of thymoma or autoimmune diseases, such as systemic lupus erythematosus, chronic lymphocytic leukemia, or malignant lymphoma. The treatment primarily involves the use of adrenal cortical hormones, which are a necessary medication. Prednisone acetate tablets at a dose of 1-2 mg/kg/day can be used. Androgens and erythropoietin can also be used in combination. Additionally, immunosuppressants such as cyclophosphamide and cyclosporine can be used. Patients with severe anemia should be treated with red blood cell transfusions.

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