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High-dose IgG treatment for neonatal alloimmune thrombocytopenia

  • Proceedings Of The International Workshop On ITP
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Summary

Twelve children with neonatal alloimmune thrombocytopenia (NAT) due to Zwa incompatibility were treated with intravenous IgG (IVIG). Total doses ranged between 1 and 9 g. Ten out of 12 infants had a favorable response. It is concluded that IVIG can serve as an emergency treatment in NAT if material (or compatible) platelets are not available.

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References

  1. Adner MM, Fisch GR, Starobin SG, Aster RH (1969) Use of “compatible” platelet transfusions in treatment of congenital isoimmune thrombocytopenic purpura. N Engl J Med 280: 244–247

    Google Scholar 

  2. Sidiropoulos D, Straume B (1984) Treatment of neonatal isoimmune thrombocytopenia with intravenous immunoglobulin (IgG i.v.). Blut 48: 383–386

    Google Scholar 

  3. Derycke M, Dreyfus M, Ropert JC, Tchernia G (1985) Intravenous immunoglobulin for neonatal isoimmune thrombocytopenia. Arch Dis Child 60: 667–669

    Google Scholar 

  4. Massey GV, McWilliams NB, Mueller DG (1987) Intravenous immunoglobulin in neonatal isoimmune thrombocytopenia. J Pediatr 111: 133–135

    Google Scholar 

  5. Suarez CR, Anderson C (1987) High-dose intravenous gammaglobulin (IVG) in neonatal immune thrombocytopenia. Am J Hematol 26: 247–253

    Google Scholar 

  6. Muller JY, Reznikoff-Etievant MF, Patereau C, Dangu C, Chesnel N (1985) Thrombopénies neo-natales alloimmunes. Etude clinique et biologique de 84 cas. Presse Med 14: 83–86

    Google Scholar 

  7. Mueller-Eckhardt C, Grubert A, Weisheit M, Mueller-Eckhardt G, Kiefel V, Kroll H, Schmidt S, Santoso S (1989) 348 cases of suspected neonatal alloimmune thrombocytopenia. Lancet I, 363–366

    Google Scholar 

  8. Imbach P, Barandun S, d'Apuzzo V, Baumgartner C, Hirt A, Morell A, Rossi E, Schöni M, Vest M, Wagner HP (1981) High-dose intravenous gammaglobulin for idiopathic thrombocytopenic purpura in childhood. Lancet I: 1228–1231

    Google Scholar 

  9. Stiehm ER (1988) The use of human intravenous immune globulin in immunoregulatory disorders and in the newborn period. Immunol Allergy Clinics North America 8: 39–50

    Google Scholar 

  10. Mueller-Eckhardt C, Kiefel V (1988) High-dose IgG for post-transfusion purpura — revisited. Blut 57: 163–167

    Google Scholar 

  11. Daffos F, Forestier F, Kaplan C (1988) Prenatal treatment of fetal alloimmune thrombocytopenia. Lancet II: 910–910

    Google Scholar 

  12. Mir N, Samson D, House MJ, Kovar IZ (1988) Failure of antenatal high-dose immunoglobulin to improve fetal platelet count in neonatal allo-immune thrombocytopenia. Vox Sang 55: 188–189

    Google Scholar 

  13. Kaplan C, Daffos F, Forestier F, Cox WL, Lyon-Caen D, Dupuy-Montbrun MC, Salmon C (1988) Management of alloimmune thrombocytopenia: Antenatal diagnosis and in utero transfusion of maternal platelets. Blood 72: 340–343

    Google Scholar 

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This work was supported by the Deutsche Forschungsgemeinschaft (Mu 277/9–6)

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Mueller-Eckhardt, C., Kiefel, V. & Grubert, A. High-dose IgG treatment for neonatal alloimmune thrombocytopenia. Blut 59, 145–146 (1989). https://doi.org/10.1007/BF00320268

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  • DOI: https://doi.org/10.1007/BF00320268

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