Successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximab

Immune thrombocytopenic purpura (ITP) is one of the complications of systemic lupus erythematosus (SLE). Although corticosteroids are usually selected for initial therapy, some patients are corticosteroid-resistant and, therefore, require other immunosuppressants or splenectomy. However, the best tr...

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Main Authors: Kazuya Abe, Yuichi Ishikawa, Junichi Ishikawa, Michio Fujiwara, Yasuhiko Kita
Format: Article
Language:English
Published: Taylor & Francis Group 2019-10-01
Series:Immunological Medicine
Subjects:
Online Access:http://dx.doi.org/10.1080/25785826.2019.1696644
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author Kazuya Abe
Yuichi Ishikawa
Junichi Ishikawa
Michio Fujiwara
Yasuhiko Kita
author_facet Kazuya Abe
Yuichi Ishikawa
Junichi Ishikawa
Michio Fujiwara
Yasuhiko Kita
author_sort Kazuya Abe
collection DOAJ
description Immune thrombocytopenic purpura (ITP) is one of the complications of systemic lupus erythematosus (SLE). Although corticosteroids are usually selected for initial therapy, some patients are corticosteroid-resistant and, therefore, require other immunosuppressants or splenectomy. However, the best treatment approach in such patients remains unknown, and there is little evidence regarding which immunosuppressive agent can provide best results. We report the case of a patient with corticosteroid-resistant SLE-associated ITP (SLE-ITP) who was successfully treated with rituximab (RTX). RTX might be a therapeutic option for corticosteroid-resistant SLE-ITP.
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spelling doaj.art-f3d53afe63514cf095c1edbf837318932022-12-21T18:29:32ZengTaylor & Francis GroupImmunological Medicine2578-58262019-10-0142418518810.1080/25785826.2019.16966441696644Successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximabKazuya Abe0Yuichi Ishikawa1Junichi Ishikawa2Michio Fujiwara3Yasuhiko Kita4Yokohama Rosai HospitalYokohama Rosai HospitalYokohama Rosai HospitalYokohama Rosai HospitalYokohama Rosai HospitalImmune thrombocytopenic purpura (ITP) is one of the complications of systemic lupus erythematosus (SLE). Although corticosteroids are usually selected for initial therapy, some patients are corticosteroid-resistant and, therefore, require other immunosuppressants or splenectomy. However, the best treatment approach in such patients remains unknown, and there is little evidence regarding which immunosuppressive agent can provide best results. We report the case of a patient with corticosteroid-resistant SLE-associated ITP (SLE-ITP) who was successfully treated with rituximab (RTX). RTX might be a therapeutic option for corticosteroid-resistant SLE-ITP.http://dx.doi.org/10.1080/25785826.2019.1696644systemic lupus erythematosusrituximabimmune thrombocytopenic purpuraantigenscorticosteroids
spellingShingle Kazuya Abe
Yuichi Ishikawa
Junichi Ishikawa
Michio Fujiwara
Yasuhiko Kita
Successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximab
Immunological Medicine
systemic lupus erythematosus
rituximab
immune thrombocytopenic purpura
antigens
corticosteroids
title Successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximab
title_full Successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximab
title_fullStr Successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximab
title_full_unstemmed Successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximab
title_short Successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximab
title_sort successful treatment of a patient with refractory immune thrombocytopenic purpura in systemic lupus erythematosus with rituximab
topic systemic lupus erythematosus
rituximab
immune thrombocytopenic purpura
antigens
corticosteroids
url http://dx.doi.org/10.1080/25785826.2019.1696644
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