Successful treatment of refractory immune hemolysis following unrelated cord blood transplant with Campath-1H.

Abstract:

:Immune-mediated hemolytic anemia is a well-recognized complication of hematopoietic stem cell transplantation. We report on a 6-year-old boy with X-linked adrenoleukodystrophy who developed severe delayed alloimmune hemolytic anemia associated with immune-mediated neutropenia and thrombocytopenia following major ABO incompatible unrelated cord blood transplantation. The patient's cytopenias were refractory to treatment with corticosteroids, cyclosporine, intravenous immune globulin, rituximab, and pentostatin. After one course of Campath-1H his hematologic parameters normalized, suggesting that the compound may be an effective therapy for complex immunohematologic disorders complicating hematopoietic stem cell transplantation. The case also emphasizes the importance of T-cells in transplant associated immune cytopenias.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Chao MM,Levine JE,Ferrara JL,Cooling L,Cooke KR,Hutchinson RJ,Yanik GA

doi

10.1002/pbc.21187

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

917-9

issue

4

eissn

1545-5009

issn

1545-5017

journal_volume

50

pub_type

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