Successful treatment of a patient with mixed warm and cold antibody mediated Evans syndrome and glucose intolerance.

Abstract:

:Thrombocytopenia and autoimmune hemolytic anemia (Evans syndrome) with the presence of both warm and cold autoantibodies (mixed type) are rare in the pediatric age group. This condition may be associated with other autoimmune disorders and is notoriously difficult to treat. This case describes an adolescent male who presented with rapid onset Evans syndrome and diabetes. After failing to respond to high dose prednisone and intravenous immunoglobulin, the patient was successfully treated with monoclonal antibody against CD20 (anti-CD20). This suggests that anti-CD20 is a valuable treatment for severe warm and cold antibody mediated Evans syndrome, and possibly for select cases of antibody mediated diabetes.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Jubinsky PT,Rashid N

doi

10.1002/pbc.20312

keywords:

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

347-50

issue

3

eissn

1545-5009

issn

1545-5017

journal_volume

45

pub_type

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