Successful treatment of refractory donor lymphocyte infusion-induced immune-mediated pancytopenia with rituximab.

Abstract:

:A 6-year-old male with chronic granulomatous disease, who was transplanted with bone marrow and exhibited increasing mixed chimerism, subsequently received two donor lymphocyte infusions (DLI). Two weeks after the second DLI, the patient developed acute graft-versus-host disease (GVHD) and progressive pancytopenia that was associated with autoantibody production. Conventional treatment did not improve the pancytopenia. However, administration of Rituximab (RTX) (375 mg/m(2)/week for four consecutive weeks) resulted in a rapid resolution of the pancytopenia. The patient achieved full donor chimerism without GVHD symptoms. RTX can be valuable for managing immune-mediated cytopenias that arise after DLI and are refractory to conventional therapies.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Kato I,Umeda K,Awaya T,Yui Y,Niwa A,Fujino H,Matsubara H,Watanabe K,Heike T,Adachi N,Endo F,Mizukami T,Nunoi H,Nakahata T,Adachi S

doi

10.1002/pbc.22280

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

329-31

issue

2

eissn

1545-5009

issn

1545-5017

journal_volume

54

pub_type

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