Treatment of an acute flush reaction caused by subcutaneous r-hirudin with pegylated hirudin.

Abstract:

:We report a patient who was treated with recombinant (r)-hirudin for heparin-induced thrombocytopenia and developed a flush reaction twice upon re-exposure to 25 mg of subcutaneous r-hirudin. Antihirudin IgG antibodies developed. The patient received 50 mg of PEG-hirudin subcutaneously over 2 days. No side-effects occurred. The level of IgG antihirudin antibodies increased. Ecarin clotting time and thrombin inhibition S2238 assay were not influenced by the patient's IgG antihirudin antibody. PEG-hirudin may be used in patients with intolerance to r-hirudin because of a dissociation of the allergenic and immunogenic properties of the pegylated drug.

journal_name

Br J Haematol

authors

Harenberg J,Hoffmann U,Huhle G,Song XH,Wang LC

doi

10.1046/j.1365-2141.2000.01837.x

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

528-30

issue

3

eissn

0007-1048

issn

1365-2141

pii

bjh1837

journal_volume

108

pub_type

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