Pure red-cell aplasia caused by the antibody to recombinant erythropoietin, epoetin-?, in a Japanese patient with chronic renal failure

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Epoetin-induced autoimmune pure red cell aplasia.

During the first 10 yr of therapy with recombinant human erythropoietin ([EPO]), only three cases of antibody-associated pure red cell aplasia have been described in patients who were treated with EPO, whereas several millions of patients have received this treatment. Thus, the possibility for epoetin to induce the formation of anti-EPO antibodies was considered extremely low. However, since 19...

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Pure red cell aplasia induced by epoetin zeta

Pure red cell aplasia (PRCA) may develop in patients with chronic kidney disease receiving erythropoiesis-stimulating agents (ESA). We report on a 72-year-old patient who developed hypo-proliferative anaemia unresponsive to ESA following the administration of epoetin zeta subcutaneously for 7 months. On the basis of severe isolated hypoplasia of the erythroid line in the bone marrow and high-ti...

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Pure red cell aplasia and anti-erythropoietin antibodies in patients treated with epoetin.

Recombinant human erythropoietin (epoetin) was first used for the treatment of renal anaemia in 1986. During the first 10 years of its use, epoetin-induced antibodies were a rare complication and only three cases of patients with epoetin-induced antibodies associated with pure red cell aplasia (PRCA) were published. Since 1998, however, there has been a significant increase in the number of pat...

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Epoetin-associated pure red cell aplasia in patients with chronic kidney disease: solving the mystery.

A substantial increase in the incidence of pure red cell aplasia (PRCA) associated with recombinant human erythropoietin (epoetin) treatment occurred in 1998. The upsurge of antibody-mediated PRCA was almost exclusively associated with chronic kidney disease patients who received subcutaneous epoetin therapy and the formulation of epoetin-alpha distributed outside the USA (EPREX/ERYPO). A syste...

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PRCA in a patient treated with epoetin beta.

Sir, In patients treated with recombinant human erythropoietin for anaemia of chronic renal failure, pure red-cell aplasia Fig 1. Time course of haemoglobin values and epoetin dose in a patient with anti-erythropoietin antibody induced PRCA.

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ژورنال

عنوان ژورنال: American Journal of Hematology

سال: 2004

ISSN: 0361-8609,1096-8652

DOI: 10.1002/ajh.20245