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静脉注射免疫球蛋白治疗血小板同种免疫:两例病例报告及文献综述

Treatment of platelet alloimmunization with intravenous immunoglobulin. Two case reports and review of the literature.

作者信息

Kurtzberg J, Friedman H S, Kinney T R, Chaffee S, Falletta J M

机构信息

Department of Pediatrics, Duke University Medical Center, Durham, North Carolina 27710.

出版信息

Am J Med. 1987 Oct 23;83(4A):30-3. doi: 10.1016/0002-9343(87)90548-1.

DOI:10.1016/0002-9343(87)90548-1
PMID:3118706
Abstract

Two pediatric patients with severe aplastic anemia, elevated antiplatelet antibody levels, refractoriness to human lymphocyte antigen-matched platelet transfusions, and sustained bleeding problems were treated with intravenous immunoglobulin (IVIG), pH 4.25, for three to over nine months. Improved responses to platelet infusions and improved hemostasis were demonstrated in both patients. A review of the published literature analyzing the role of IVIG in the treatment of platelet alloimmunization is presented.

摘要

两名患有严重再生障碍性贫血、抗血小板抗体水平升高、对人类淋巴细胞抗原匹配的血小板输注无效且持续存在出血问题的儿科患者,接受了pH值为4.25的静脉注射免疫球蛋白(IVIG)治疗,疗程为三至九个多月。两名患者均表现出对血小板输注的反应改善以及止血情况改善。本文对已发表的分析IVIG在血小板同种免疫治疗中作用的文献进行了综述。

相似文献

1
Treatment of platelet alloimmunization with intravenous immunoglobulin. Two case reports and review of the literature.静脉注射免疫球蛋白治疗血小板同种免疫:两例病例报告及文献综述
Am J Med. 1987 Oct 23;83(4A):30-3. doi: 10.1016/0002-9343(87)90548-1.
2
Improved response of patients refractory to random-donor platelet transfusions by intravenous gamma globulin.静脉注射丙种球蛋白改善对随机供体血小板输注无效患者的反应。
Am J Med. 1984 Mar 30;76(3A):199-203. doi: 10.1016/0002-9343(84)90342-5.
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Treatment of platelet alloimmunization with intravenous immunoglobulin in a child with aplastic anemia.静脉注射免疫球蛋白治疗再生障碍性贫血患儿的血小板同种免疫
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Rituximab, plasma exchange and intravenous immunoglobulins as a new treatment strategy for severe HLA alloimmune platelet refractoriness.利妥昔单抗、血浆置换和静脉注射免疫球蛋白作为严重HLA同种免疫性血小板难治性的一种新治疗策略。
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JAMA. 1983 Apr 1;249(13):1748-50.

引用本文的文献

1
Anti-HLA Class I alloantibodies in platelet transfusion refractoriness: From mechanisms and determinants to therapeutic prospects.血小板输注无效中的抗 HLA Ⅰ类同种抗体:从机制和决定因素到治疗前景。
Front Immunol. 2023 Feb 9;14:1125367. doi: 10.3389/fimmu.2023.1125367. eCollection 2023.
2
Intravenous immunoglobulin (IVIG) for the therapy of autoimmune disorders.静脉注射免疫球蛋白用于自身免疫性疾病的治疗。
J Clin Immunol. 1990 Mar;10(2):81-9. doi: 10.1007/BF00918189.
3
IVIG therapy in neonatal isoimmune thrombocytopenic purpura and alloimmunization thrombocytopenia.
Clin Rev Allergy. 1992 Spring-Summer;10(1-2):73-80. doi: 10.1007/978-1-4612-0417-6_6.
4
Intravenous immune globulins. A review of their uses in selected immunodeficiency and autoimmune diseases.
Drugs. 1992 Jan;43(1):6-14. doi: 10.2165/00003495-199243010-00002.