Successful treatment of pure red cell aplasia with rituximab in patients with chronic lymphocytic leukemia.

Abstract:

:Pure red cell aplasia (PRCA) is a rare complication in patients with chronic lymphocytic leukemia (CLL). It is characterized by reticulocytopenia and by an absence of red cell precursors in the bone marrow. Unlike autoimmune hemolytic anemia, which is characterized by an increased number of reticulocytes, positive Coombs test findings, and a high serum level of lactate dehydrogenase. Two patients with B-cell CLL are reported to have developed PRCA, one while on chemotherapy with fludarabine and one seeking treatment for de novo PRCA. Both responded dramatically to therapy with monoclonal antibody rituximab (Rituxan) in a short period of time and continued to be transfusion-independent. These are the first 2 reported patients for whom rituximab treatment for PRCA in CLL was successful, and this treatment deserves further investigation.

journal_name

Blood

journal_title

Blood

authors

Ghazal H

doi

10.1182/blood.v99.3.1092

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

1092-4

issue

3

eissn

0006-4971

issn

1528-0020

journal_volume

99

pub_type

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