Cargando…
A Case of Evan's Syndrome Induced by Vedolizumab
Vedolizumab is a monoclonal antibody against the ɑ4β7 integrin receptor used for the treatment of ulcerative colitis and Crohn's disease. Clinical trials have shown vedolizumab to be a safe and highly effective therapy in treating inflammatory bowel disease. Its unique gut-specific mechanism of...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657984/ https://www.ncbi.nlm.nih.gov/pubmed/31598531 http://dx.doi.org/10.14309/crj.0000000000000002 |
_version_ | 1783438887571423232 |
---|---|
author | Jen, Henry Morganstern, Bradley D'Souza, Lionel |
author_facet | Jen, Henry Morganstern, Bradley D'Souza, Lionel |
author_sort | Jen, Henry |
collection | PubMed |
description | Vedolizumab is a monoclonal antibody against the ɑ4β7 integrin receptor used for the treatment of ulcerative colitis and Crohn's disease. Clinical trials have shown vedolizumab to be a safe and highly effective therapy in treating inflammatory bowel disease. Its unique gut-specific mechanism of action has made it an attractive agent in recent years. However, vedolizumab's side effect profile and long-term effects are not fully understood. We report a patient with ulcerative colitis who presented with epistaxis 1 week after receiving the first induction dose of vedolizumab found to have a severe immune-mediated thrombocytopenia and hemolytic anemia, otherwise known as Evan's syndrome. |
format | Online Article Text |
id | pubmed-6657984 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-66579842019-10-09 A Case of Evan's Syndrome Induced by Vedolizumab Jen, Henry Morganstern, Bradley D'Souza, Lionel ACG Case Rep J Case Report Vedolizumab is a monoclonal antibody against the ɑ4β7 integrin receptor used for the treatment of ulcerative colitis and Crohn's disease. Clinical trials have shown vedolizumab to be a safe and highly effective therapy in treating inflammatory bowel disease. Its unique gut-specific mechanism of action has made it an attractive agent in recent years. However, vedolizumab's side effect profile and long-term effects are not fully understood. We report a patient with ulcerative colitis who presented with epistaxis 1 week after receiving the first induction dose of vedolizumab found to have a severe immune-mediated thrombocytopenia and hemolytic anemia, otherwise known as Evan's syndrome. Wolters Kluwer 2019-02-13 /pmc/articles/PMC6657984/ /pubmed/31598531 http://dx.doi.org/10.14309/crj.0000000000000002 Text en © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Case Report Jen, Henry Morganstern, Bradley D'Souza, Lionel A Case of Evan's Syndrome Induced by Vedolizumab |
title | A Case of Evan's Syndrome Induced by Vedolizumab |
title_full | A Case of Evan's Syndrome Induced by Vedolizumab |
title_fullStr | A Case of Evan's Syndrome Induced by Vedolizumab |
title_full_unstemmed | A Case of Evan's Syndrome Induced by Vedolizumab |
title_short | A Case of Evan's Syndrome Induced by Vedolizumab |
title_sort | case of evan's syndrome induced by vedolizumab |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657984/ https://www.ncbi.nlm.nih.gov/pubmed/31598531 http://dx.doi.org/10.14309/crj.0000000000000002 |
work_keys_str_mv | AT jenhenry acaseofevanssyndromeinducedbyvedolizumab AT morgansternbradley acaseofevanssyndromeinducedbyvedolizumab AT dsouzalionel acaseofevanssyndromeinducedbyvedolizumab AT jenhenry caseofevanssyndromeinducedbyvedolizumab AT morgansternbradley caseofevanssyndromeinducedbyvedolizumab AT dsouzalionel caseofevanssyndromeinducedbyvedolizumab |