Provan Drew, Butler Tom, Evangelista Maria Laura, Amadori Sergio, Newland Adrian C, Stasi Roberto
Department of Haematology, Bart's & The London, Queen Mary's School of Medicine and Dentistry, Whitechapel, London, UK.
Haematologica. 2007 Dec;92(12):1695-8. doi: 10.3324/haematol.11709.
We conducted a retrospective analysis of 11 consecutive patients with various autoimmune cytopenias who failed to respond to conventional treatments and received a fixed-dose regimen of rituximab (100 mg weekly for 4 consecutive weeks). Sustained complete responses were achieved in 4 out of 7 patients with idiopathic thrombocytopenic purpura and in 1 patient with autoimmune pancytopenia. A partial response was observed in 1 patient with autoimmune hemolytic anemia. The immunotherapy had no effect in 1 patient with pure red cell aplasia or in 1 patient with autoimmune neutropenia. No infusion-related or delayed toxicities attributable to rituximab were experienced by any of the patients.
我们对11例连续的各种自身免疫性血细胞减少症患者进行了回顾性分析,这些患者对传统治疗无反应,并接受了利妥昔单抗固定剂量方案(连续4周,每周100 mg)。7例特发性血小板减少性紫癜患者中有4例以及1例自身免疫性全血细胞减少症患者实现了持续完全缓解。1例自身免疫性溶血性贫血患者观察到部分缓解。免疫疗法对1例纯红细胞再生障碍性贫血患者和1例自身免疫性中性粒细胞减少症患者无效。所有患者均未出现与利妥昔单抗相关的输注相关或延迟毒性。