B-lymphocyte reconstitution after repeated rituximab treatment in a child with steroid-dependent autoimmune hemolytic anemia

We report the detailed long-term reconstitution of B-lymphocyte subpopulations, immunoglobulins, and specific antibody production after two courses of rituximab in a young, previously healthy girl with steroid-dependent autoimmune hemolytic anemia. B-lymphocyte subpopulations were surprisingly norma...

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Main Authors: Esther de Vries, Eugenie F.A. Gemen, Ellen J.H. Schatorjé, Annemieke M. van der Weij, Annelieke A.A. van der Linde
Format: Article
Language:English
Published: MDPI AG 2011-09-01
Series:Pediatric Reports
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/pr/article/view/2544
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author Esther de Vries
Eugenie F.A. Gemen
Ellen J.H. Schatorjé
Annemieke M. van der Weij
Annelieke A.A. van der Linde
author_facet Esther de Vries
Eugenie F.A. Gemen
Ellen J.H. Schatorjé
Annemieke M. van der Weij
Annelieke A.A. van der Linde
author_sort Esther de Vries
collection DOAJ
description We report the detailed long-term reconstitution of B-lymphocyte subpopulations, immunoglobulins, and specific antibody production after two courses of rituximab in a young, previously healthy girl with steroid-dependent autoimmune hemolytic anemia. B-lymphocyte subpopulations were surprisingly normal directly after reconstitution. However, there was a slower reconstitution after the second rituximab course, especially of non-switched and switched memory B-lymphocytes, and a temporary decline in IgM below age-matched reference values.
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spelling doaj.art-7c3d36a595554ba29074abb2a29b1cf42022-12-21T23:19:28ZengMDPI AGPediatric Reports2036-749X2036-75032011-09-0134e28e2810.4081/pr.2011.e28B-lymphocyte reconstitution after repeated rituximab treatment in a child with steroid-dependent autoimmune hemolytic anemiaEsther de VriesEugenie F.A. GemenEllen J.H. SchatorjéAnnemieke M. van der WeijAnnelieke A.A. van der LindeWe report the detailed long-term reconstitution of B-lymphocyte subpopulations, immunoglobulins, and specific antibody production after two courses of rituximab in a young, previously healthy girl with steroid-dependent autoimmune hemolytic anemia. B-lymphocyte subpopulations were surprisingly normal directly after reconstitution. However, there was a slower reconstitution after the second rituximab course, especially of non-switched and switched memory B-lymphocytes, and a temporary decline in IgM below age-matched reference values.http://www.pagepress.org/journals/index.php/pr/article/view/2544Autoimmune hemolytic anemiaRituximabChildImmune reconstitutionB-lymphocytes
spellingShingle Esther de Vries
Eugenie F.A. Gemen
Ellen J.H. Schatorjé
Annemieke M. van der Weij
Annelieke A.A. van der Linde
B-lymphocyte reconstitution after repeated rituximab treatment in a child with steroid-dependent autoimmune hemolytic anemia
Pediatric Reports
Autoimmune hemolytic anemia
Rituximab
Child
Immune reconstitution
B-lymphocytes
title B-lymphocyte reconstitution after repeated rituximab treatment in a child with steroid-dependent autoimmune hemolytic anemia
title_full B-lymphocyte reconstitution after repeated rituximab treatment in a child with steroid-dependent autoimmune hemolytic anemia
title_fullStr B-lymphocyte reconstitution after repeated rituximab treatment in a child with steroid-dependent autoimmune hemolytic anemia
title_full_unstemmed B-lymphocyte reconstitution after repeated rituximab treatment in a child with steroid-dependent autoimmune hemolytic anemia
title_short B-lymphocyte reconstitution after repeated rituximab treatment in a child with steroid-dependent autoimmune hemolytic anemia
title_sort b lymphocyte reconstitution after repeated rituximab treatment in a child with steroid dependent autoimmune hemolytic anemia
topic Autoimmune hemolytic anemia
Rituximab
Child
Immune reconstitution
B-lymphocytes
url http://www.pagepress.org/journals/index.php/pr/article/view/2544
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