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使用大剂量静脉注射免疫球蛋白后获得性血友病并发急性肾衰竭

Acute renal failure in acquired haemophilia following the use of high dose intravenous immunoglobulin.

作者信息

Laidlaw S, Bainton R, Wilkie M, Makris M

机构信息

Sheffield Haemophilia and Thrombosis Centre, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF.

出版信息

Haemophilia. 1999 Jul;5(4):270-2. doi: 10.1046/j.1365-2516.1999.00327.x.

Abstract

High dose intravenous immunoglobulin (IVIG) is a useful form of treatment in patients with acquired haemophilia, a rare bleeding disorder due to auto-antibodies to factor VIII. We describe a patient with acquired haemophilia who developed acute renal failure rapidly after treatment with a high sucrose content IVIG preparation. We speculate that the sucrose content of the preparation was responsible for the renal failure and make recommendations on the use of IVIG in patients with acquired haemophilia.

摘要

高剂量静脉注射免疫球蛋白(IVIG)是获得性血友病患者的一种有效治疗方式,获得性血友病是一种因针对凝血因子VIII的自身抗体导致的罕见出血性疾病。我们描述了一名获得性血友病患者,在用高蔗糖含量的IVIG制剂治疗后迅速出现急性肾衰竭。我们推测制剂中的蔗糖含量是导致肾衰竭的原因,并对获得性血友病患者使用IVIG提出建议。

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