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Plasma exchange as a necessary prerequisite for the induction of remission by human immunoglobulin in auto-immune haemolytic anaemia.

AbstractHigh-dosage intravenous human immunoglobulin G (i.v. IgG) has been used with varying degrees of success to treat a variety of auto-immune disorders which are frequently characterized by a predominantly pathogenic auto-antibody. The present report, in which consistent control and ultimately complete remission of a resistant auto-immune haemolytic anaemia (AIHA) was achieved by carrying out preliminary plasma exchange as a crucial prelude to the administration of high-dose i.v. IgG provides not only insight into the immuno-regulatory action of the IgG but also raises the interesting possibility that similar benefit might be obtained by such combined procedures in other resistant auto-immune diseases.
AuthorsP Hughes, A Toogood (Affiliation: Department of Medicine, University of Sheffield, Northern General Hospital, UK.)
JournalActa haematologica (Acta Haematol) Vol. 91 Issue 3 Pg. 166-9 ( 1994) ISSN: 0001-5792 SWITZERLAND
PMID8091939 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Immunoglobulins, Intravenous
Topics
  • Aged
  • Anemia, Hemolytic, Autoimmune (therapy)
  • Female
  • Humans
  • Immunoglobulins, Intravenous (therapeutic use)
  • Plasma Exchange