Successful Management of Refractory Dialysis Independent Wegener's Granulomatosis with Combination of Therapeutic Plasma Exchange and Rituximab.
作者信息
Malhotra Sheetal, Dhawan Hari Krishan, Sharma Ratti Ram, Marwaha Neelam, Sharma Aman
机构信息
Department of Transfusion Medicine, Gian Sagar Medical College and Hospital, Patiala, India.
Department of Transfusion Medicine, PGIMER, Chandigarh, 160012 India.
出版信息
Indian J Hematol Blood Transfus. 2016 Jun;32(Suppl 1):332-4. doi: 10.1007/s12288-015-0507-4. Epub 2015 Feb 1.
Abstract
Wegeners granulomatosis (WG) is an autoimmune, antineutrophil cytoplasmic antibody mediated necrotizing vasculitis involving renal, and upper and lower respiratory systems. Treatment relies on a combination of immunosuppressive drugs and tapering regimen of glucocorticoids. Therapeutic plasma exchange (TPE) has been recognized as a second line treatment. We report the successful use of TPE in combination with rituximab in achieving remission in a patient with WG (dialysis independent) not responding to conventional therapy.
摘要
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本文引用的文献
1
Guidelines on the use of therapeutic apheresis in clinical practice-evidence-based approach from the Writing Committee of the American Society for Apheresis: the sixth special issue.
J Clin Apher. 2013 Jul;28(3):145-284. doi: 10.1002/jca.21276.
2
Diagnostics and therapy of antineutrophil cytoplasmic antibody (ANCA) associated vasculitides.
Curr Pharm Des. 2012;18(29):4537-41. doi: 10.2174/138161212802502260.
3
Role of plasmapheresis performed in hemodialysis units for the treatment of anti-neutrophilic cytoplasmic antibody-associated systemic vasculitides.
Ther Apher Dial. 2011 Oct;15(5):493-8. doi: 10.1111/j.1744-9987.2011.00960.x. Epub 2011 May 25.
4
Plasma exchange in the treatment of Wegener's granulomatosis, microscopic polyangiitis, Churg-Strauss syndrome and renal limited vasculitis.
Curr Opin Rheumatol. 2011 Jan;23(1):12-7. doi: 10.1097/BOR.0b013e32834120c1.
5
Rituximab versus cyclophosphamide for ANCA-associated vasculitis.
N Engl J Med. 2010 Jul 15;363(3):221-32. doi: 10.1056/NEJMoa0909905.
6
Plasma exchange for induction and cyclosporine A for maintenance of remission in Wegener's granulomatosis--a clinical randomized controlled trial.
Nephrol Dial Transplant. 2011 Jan;26(1):206-13. doi: 10.1093/ndt/gfq360. Epub 2010 Jun 24.
7
Therapeutic implications of coexisting severe pulmonary hemorrhage and pulmonary emboli in a case of Wegener granulomatosis.
Am J Kidney Dis. 2009 May;53(5):e5-8. doi: 10.1053/j.ajkd.2008.12.022. Epub 2009 Mar 20.
8
Novel therapies for anti-neutrophil cytoplasmic antibody-associated vasculitis.
Drugs. 2008;68(6):747-70. doi: 10.2165/00003495-200868060-00003.
9
Progressive renal disease despite immunosuppressive therapy in a patient with Wegener s granulomatosis.
Neth J Med. 2008 Mar;66(3):125-7.
10
Treatment options for refractory Wegener's granulomatosis: a role for rituximab?
Curr Opin Investig Drugs. 2007 Nov;8(11):927-32.
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