Tehran University of Medical Sciences Iranian Journal of Allergy, Asthma and Immunology 1735-1502 13 2 2014 04 15 Pure Red Cell Aplasia as a Presenting Feature in Systemic Lupus Erythematosus and Association with Thymoma, Hypothyroidism and Hypoparathyroidism: a Case Report and Literature Review 138 143 EN Sasan Fallahi Internal Medicine Division, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran AND Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Mahmoud Akbarian Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Shahriar Dabiri Department of Surgical Pathology, Afzalipoor Hospital, Kerman University of Medical Sciences, Kerman, Iran 2015 10 16 This paper presents a 54-year-old female with lupus whom severe anaemia due to pure red cell aplasia (PRCA) was the first manifestation. There was seven years interval between PRCA onset and diagnosis of lupus. Thymectomy due to thymoma had been carried out six years before but anaemia sustained. Hypothyroidism and hypoparathyroidism were other associated diseases. Severe anaemia and the need for monthly blood infusions were resolved following treatment with Prednisolone, Hydroxychloroquine and Levothyroxine. https://ijaai.tums.ac.ir/index.php/ijaai/article/view/464 https://ijaai.tums.ac.ir/index.php/ijaai/article/download/464/373