Ribavirin-Induced Pure Red-Cell Aplasia during Treatment of Chronic Hepatitis C

Abstract
Interferon and ribavirin in combination are the standard treatment for chronic hepatitis C. Hematologic abnormalities, including thrombocytopenia and anemia, are major side effects.1 Ribavirin is closely associated with hemolytic anemia.2 We report a case of severe anemia due to acute pure red-cell aplasia during combination therapy, which rapidly improved after the discontinuation of ribavirin.