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Therapeutic plasma exchange in paediatric SLE: a case series from India.

Abstract
Therapeutic plasma exchange (TPE) has been reported to be a useful adjunct in severe systemic lupus erythematosus (SLE) but paediatric literature continues to be scanty. We hereby present three cases of refractory paediatric SLE (pSLE) with thrombotic thrombocytopenic purpura (TTP), diffuse alveolar haemorrhage (DAH) and crescentic glomerulonephritis which were treated with TPE as an adjunctive therapy. TPE was carried out in haemodialysis units using the membrane filtration technique. Demonstrable benefit of TPE was seen in all three cases. In refractory pSLE, TPE may be a useful tool and should be considered. The report additionally highlights the feasibility of undertaking TPE in haemodialysis units, which is important as haemodialysis units are more readily available than dedicated apheresis units in developing countries.
AuthorsP Prasun Giri, R Sinha, P Pal, B Sarkar
JournalLupus (Lupus) Vol. 24 Issue 8 Pg. 889-91 (Jul 2015) ISSN: 1477-0962 [Electronic] England
PMID25701566 (Publication Type: Case Reports, Journal Article)
Copyright© The Author(s) 2015.
Topics
  • Adolescent
  • Child
  • Female
  • Humans
  • India
  • Lupus Erythematosus, Systemic (therapy)
  • Male
  • Nephritis (pathology)
  • Plasma Exchange (methods)
  • Purpura, Thrombotic Thrombocytopenic (therapy)
  • Renal Dialysis

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