Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/23516
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dc.contributor.authorVassou, A.en
dc.contributor.authorAlymara, V.en
dc.contributor.authorChaidos, A.en
dc.contributor.authorBourantas, K. L.en
dc.date.accessioned2015-11-24T19:33:15Z-
dc.date.available2015-11-24T19:33:15Z-
dc.identifier.issn0925-5710-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/23516-
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectAnemia, Hemolytic, Autoimmune/diagnosis/*drug therapyen
dc.subjectAntibodies, Monoclonal/*administration & dosageen
dc.subjectAntibodies, Monoclonal, Murine-Deriveden
dc.subjectChronic Diseaseen
dc.subjectCyclophosphamide/*administration & dosageen
dc.subjectDrug Therapy, Combinationen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectRemission Inductionen
dc.subjectSalvage Therapyen
dc.titleBeneficial effect of rituximab in combination with oral cyclophosphamide in primary chronic cold agglutinin diseaseen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/16158824-
heal.identifier.secondaryhttp://www.springerlink.com/content/ml7fjrcrawu8bym8/fulltext.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2005-
heal.abstractCold agglutinin disease (CAD) is an uncommon autoimmune hemolytic anemia characterized by B-cell proliferation. Conventional therapies for primary CAD such as corticosteroids, oral alkylating agents, splenectomy, interferon alpha, and plasma exchange are often ineffective at controlling the disease. The anti-CD20 monoclonal antibody rituximab (MabThera) depletes B-lymphocytes and thereby interferes with the production of cold agglutinin. We describe an elderly patient with primary (idiopathic) chronic CAD refractory to steroids who was successfully treated with 4 weekly infusions (375 mg/m2) of rituximab and 6 months of oral cyclophosphamide at a dosage of 60 mg/m2 per day. The increase in hemoglobin level and the decline in the plasma cold agglutinin titer were rapid (from the second rituximab infusion). The hematologic remission persisted for at least 8 months after treatment start, with no adverse effects. Rituximab and cyclophosphamide may be supplementary therapeutic modalities whose combination warrants further clinical investigation.en
heal.journalNameInt J Hematolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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