IZUKA Yuki
   Department   Other, Other
   Position  
Article types Case report
Language English
Peer review Peer reviewed
Title Successful Rituximab Treatment in Thrombotic Thrombocytopenic Purpura Patients Complicated by Other Autoimmune Disorders: Two Case Reports.
Journal Formal name:Internal medicine (Tokyo, Japan)
Abbreviation:Intern Med
ISSN code:13497235/09182918
Domestic / ForeginForegin
Volume, Issue, Page 60(17),pp.2859-2862
Author and coauthor Watanabe Aya†, Shiseki Masayuki, Oishi Megumi, Kobayashi Maya, Oshima Shoko, Osanai Satoko, Ryuzaki Michiko, Izuka Yuki, Tanaka Norina, Ishiyama Midori, Shinohara Akihito, Kazama Hiroshi, Hagiwara Shotaro, Yoshinaga Kentaro, Tanaka Junji
Publication date 2021/09
Summary We herein report two cases of thrombotic thrombocytopenic purpura (TTP) complicated by other autoimmune disorders, autoimmune hepatitis and immune thrombocytopenia, respectively. In both cases, corticosteroids were continuously administered for the treatment of preceding autoimmune disorders. However, a sufficient objective response for TTP was not obtained by plasma exchange and corticosteroid treatment. Once a week rituximab (375 mg/m2) treatment for 4 times was initiated within 2 weeks from the diagnosis. Both patients achieved a sufficient response, and have never had any recurrence as of the last follow-up dates. The early introduction of rituximab could be an effective treatment option in TTP patients complicated with other autoimmune disorders.
DOI 10.2169/internalmedicine.6387-20
PMID 33775998