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孕期使用利妥昔单抗治疗对新生儿的影响。

The effects of rituximab treatment during pregnancy on a neonate.

作者信息

Friedrichs Birte, Tiemann Markus, Salwender Hans, Verpoort Karl, Wenger Michael K, Schmitz Norbert

出版信息

Haematologica. 2006 Oct;91(10):1426-7. Epub 2006 Sep 7.

Abstract

A 35-year old woman developed Burkitt's lymphoma and was treated with rituximab and CHOP therapy early during pregnancy. Monitoring of rituximab concentrations and B-cell counts in the child revealed a transient complete B-cell depletion associated with high rituximab cord blood concentrations. B-cell recovery was fast, showing a regular immunophenotype without loss of CD20 antigen, no functional deficits and adequate vaccination IgG titers.

摘要

一名35岁女性患伯基特淋巴瘤,在妊娠早期接受了利妥昔单抗和CHOP疗法治疗。对患儿的利妥昔单抗浓度和B细胞计数监测显示,与脐带血中高浓度利妥昔单抗相关的短暂性完全B细胞耗竭。B细胞恢复迅速,表现出正常的免疫表型,无CD20抗原丢失,无功能缺陷,疫苗接种后的IgG滴度充足。

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