Daratumumab in life-threatening autoimmune hemolytic anemia following hematopoietic stem cell transplantation

Catharina Schuetz, Manfred Hoenig, Despina Moshous, Christof Weinstock, Martin Castelle, Matthieu Bendavid, Kristin Shimano, Vanessa Tolbert, Ansgar S Schulz, Christopher C Dvorak, Catharina Schuetz, Manfred Hoenig, Despina Moshous, Christof Weinstock, Martin Castelle, Matthieu Bendavid, Kristin Shimano, Vanessa Tolbert, Ansgar S Schulz, Christopher C Dvorak

Abstract

New-onset autoimmune hemolytic anemia (AIHA) occurs in 2% to 6% of pediatric patients post-hematopoietic stem cell transplantation (HSCT) and is a significant complication. Incomplete immune recovery following HSCT may predispose to immune dysregulation including autoimmune cytopenias. We describe an innovative therapy for AIHA refractory to proteasome inhibition. In potentially life-threatening AIHA in the context of HSCT, daratumumab may be an effective rescue therapy.

Conflict of interest statement

Conflict-of-interest disclosure: The authors declare no competing financial interests.

© 2018 by The American Society of Hematology.

Figures

https://www.ncbi.nlm.nih.gov/pmc/articles/instance/6177653/bin/advances020883absf1.jpg
Professional illustration by Patrick Lane, ScEYEnce Studios.
Figure 1.
Figure 1.
Representation of laboratory parameters and treatment strategies in patient 2.

Source: PubMed

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