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Intramuscular Anti‐D treatment for immune thrombocytopenia: A single centre experience

Intravenous Anti‐Rhesus‐D immunoglobulin (Anti‐D) is a first‐line treatment option for immune thrombocytopenia in non‐splenectomised and RhD‐positive patients. In this report, we retrospectively review our experience with intramuscular (IM) Anti‐D treatment in 74 adult patients between 1990 and 2018...

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Autores principales: Lakhwani, Sunil, López‐Las Heras, Alberto, Rodríguez‐García, Pablo, Iraheta, Sandra, Martín‐Santos, Taida, Rodríguez‐Salazar, María José, Machado, Patricia, Hernández, Miguel‐Teodoro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091692/
https://www.ncbi.nlm.nih.gov/pubmed/36198407
http://dx.doi.org/10.1111/bjh.18484
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author Lakhwani, Sunil
López‐Las Heras, Alberto
Rodríguez‐García, Pablo
Iraheta, Sandra
Martín‐Santos, Taida
Rodríguez‐Salazar, María José
Machado, Patricia
Hernández, Miguel‐Teodoro
author_facet Lakhwani, Sunil
López‐Las Heras, Alberto
Rodríguez‐García, Pablo
Iraheta, Sandra
Martín‐Santos, Taida
Rodríguez‐Salazar, María José
Machado, Patricia
Hernández, Miguel‐Teodoro
author_sort Lakhwani, Sunil
collection PubMed
description Intravenous Anti‐Rhesus‐D immunoglobulin (Anti‐D) is a first‐line treatment option for immune thrombocytopenia in non‐splenectomised and RhD‐positive patients. In this report, we retrospectively review our experience with intramuscular (IM) Anti‐D treatment in 74 adult patients between 1990 and 2018. We found that 73% of patients showed a response; almost all of them had complete responses (68.9%), and 26% achieved complete responses sustained at least 6 months after treatment discontinuation. [Correction added on 02 December 2022, after first online publication: In the preceding sentence, ‘(68.89%)’ has been corrected to ‘(68.9%)’ in this version.] No significant side effects were observed with no cases of acute haemolysis or anaemia reported. We conclude from this study that IM Anti‐D is an effective and safe treatment for immune thrombocytopenia.
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spelling pubmed-100916922023-04-13 Intramuscular Anti‐D treatment for immune thrombocytopenia: A single centre experience Lakhwani, Sunil López‐Las Heras, Alberto Rodríguez‐García, Pablo Iraheta, Sandra Martín‐Santos, Taida Rodríguez‐Salazar, María José Machado, Patricia Hernández, Miguel‐Teodoro Br J Haematol Platelets, Thrombosis and Haemostasis Intravenous Anti‐Rhesus‐D immunoglobulin (Anti‐D) is a first‐line treatment option for immune thrombocytopenia in non‐splenectomised and RhD‐positive patients. In this report, we retrospectively review our experience with intramuscular (IM) Anti‐D treatment in 74 adult patients between 1990 and 2018. We found that 73% of patients showed a response; almost all of them had complete responses (68.9%), and 26% achieved complete responses sustained at least 6 months after treatment discontinuation. [Correction added on 02 December 2022, after first online publication: In the preceding sentence, ‘(68.89%)’ has been corrected to ‘(68.9%)’ in this version.] No significant side effects were observed with no cases of acute haemolysis or anaemia reported. We conclude from this study that IM Anti‐D is an effective and safe treatment for immune thrombocytopenia. John Wiley and Sons Inc. 2022-10-05 2023-02 /pmc/articles/PMC10091692/ /pubmed/36198407 http://dx.doi.org/10.1111/bjh.18484 Text en © 2022 The Authors. British Journal of Haematology published by British Society for Haematology and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Platelets, Thrombosis and Haemostasis
Lakhwani, Sunil
López‐Las Heras, Alberto
Rodríguez‐García, Pablo
Iraheta, Sandra
Martín‐Santos, Taida
Rodríguez‐Salazar, María José
Machado, Patricia
Hernández, Miguel‐Teodoro
Intramuscular Anti‐D treatment for immune thrombocytopenia: A single centre experience
title Intramuscular Anti‐D treatment for immune thrombocytopenia: A single centre experience
title_full Intramuscular Anti‐D treatment for immune thrombocytopenia: A single centre experience
title_fullStr Intramuscular Anti‐D treatment for immune thrombocytopenia: A single centre experience
title_full_unstemmed Intramuscular Anti‐D treatment for immune thrombocytopenia: A single centre experience
title_short Intramuscular Anti‐D treatment for immune thrombocytopenia: A single centre experience
title_sort intramuscular anti‐d treatment for immune thrombocytopenia: a single centre experience
topic Platelets, Thrombosis and Haemostasis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091692/
https://www.ncbi.nlm.nih.gov/pubmed/36198407
http://dx.doi.org/10.1111/bjh.18484
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