Rituximab alleviates pediatric systemic lupus erythematosus associated refractory immune thrombocytopenia: a case-based review.

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-06-01 Epub Date: 2024-01-27 DOI:10.1007/s12026-024-09454-z
Fangxin Mu, Xue Bai, Yan Lou, Ping Luo, Qiaoyan Guo
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Abstract

A complication of pediatric systemic lupus erythematosus (pSLE) is immune thrombocytopenia (ITP). Although corticosteroids and immunoglobulins are frequently used as preliminary treatments, some patients do not respond to them. Rituximab has been reported to be safe and effective in the treatment of pSLE complicated with refractory ITP. Research is currently underway to determine the optimal rituximab dose for these individuals. We report a case of a child with SLE-associated ITP (SLE-ITP) who was successfully treated with rituximab. Rituximab is likely the most viable therapeutic option for refractory SLE-ITP. Furthermore, a comprehensive review of the relevant literature was performed and a concise overview of the pathogenesis and available treatment modalities for pediatric patients diagnosed with SLE and concurrent ITP was provided.

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利妥昔单抗缓解小儿系统性红斑狼疮相关难治性免疫血小板减少症:基于病例的综述。
免疫性血小板减少症(ITP)是小儿系统性红斑狼疮(pSLE)的并发症之一。虽然皮质类固醇和免疫球蛋白是常用的初步治疗方法,但有些患者对它们没有反应。据报道,利妥昔单抗在治疗并发难治性ITP的pSLE方面安全有效。目前正在研究确定利妥昔单抗对这些患者的最佳剂量。我们报告了一例用利妥昔单抗成功治疗系统性红斑狼疮相关性ITP(SLE-ITP)患儿的病例。利妥昔单抗可能是治疗难治性系统性红斑狼疮-ITP的最可行方案。此外,我们还对相关文献进行了全面回顾,并简要概述了被诊断为系统性红斑狼疮并发 ITP 的儿童患者的发病机制和可用的治疗方法。
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CiteScore
7.20
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4.30%
发文量
567
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