Daratumumab for refractory posttransplant autoimmune hemolytic anemia: An option beyond the obvious

Autoimmune Cytopenia (AIC) is a complication that occurs in 2-6% of the post-transplant paediatric population. It is a significant cause of morbidity and a therapeutic challenge. The first line treatment is often corticosteroids, and Rituximab is used in the second line. Refractoriness to several li...

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Main Authors: Sreedhar Jayakrishnan Cherulil, Kesavan Melarcode Ramanan, Sudeep Vaniyath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Annals of Oncology Research and Therapy
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Online Access:https://journals.lww.com/10.4103/aort.aort_30_24
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author Sreedhar Jayakrishnan Cherulil
Kesavan Melarcode Ramanan
Sudeep Vaniyath
author_facet Sreedhar Jayakrishnan Cherulil
Kesavan Melarcode Ramanan
Sudeep Vaniyath
author_sort Sreedhar Jayakrishnan Cherulil
collection DOAJ
description Autoimmune Cytopenia (AIC) is a complication that occurs in 2-6% of the post-transplant paediatric population. It is a significant cause of morbidity and a therapeutic challenge. The first line treatment is often corticosteroids, and Rituximab is used in the second line. Refractoriness to several lines of treatment is an often-encountered clinical scenario, here we would like to highlight the use of Daratumumab a novel anti CD 38 monoclonal antibody to treat post-transplant AIC. We report on the use of Daratumumab in combination with the conventional treatment with Rituximab and corticosteroids in a case of severe life threatening AIHA in a one-year-old child, who was suffering from T-B-NK SCID, and had undergone post haploidentical stem cell transplantation.
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publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
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series Annals of Oncology Research and Therapy
spelling doaj-art-ac13b77288fb4e6d85793201b11013172025-08-20T02:52:34ZengWolters Kluwer Medknow PublicationsAnnals of Oncology Research and Therapy2772-83822772-83902025-01-0151666810.4103/aort.aort_30_24Daratumumab for refractory posttransplant autoimmune hemolytic anemia: An option beyond the obviousSreedhar Jayakrishnan CherulilKesavan Melarcode RamananSudeep VaniyathAutoimmune Cytopenia (AIC) is a complication that occurs in 2-6% of the post-transplant paediatric population. It is a significant cause of morbidity and a therapeutic challenge. The first line treatment is often corticosteroids, and Rituximab is used in the second line. Refractoriness to several lines of treatment is an often-encountered clinical scenario, here we would like to highlight the use of Daratumumab a novel anti CD 38 monoclonal antibody to treat post-transplant AIC. We report on the use of Daratumumab in combination with the conventional treatment with Rituximab and corticosteroids in a case of severe life threatening AIHA in a one-year-old child, who was suffering from T-B-NK SCID, and had undergone post haploidentical stem cell transplantation.https://journals.lww.com/10.4103/aort.aort_30_24autoimmune cytopeniadaratumumabposthematopoietic stem cell transplant complicationsposttransplant cytopenia
spellingShingle Sreedhar Jayakrishnan Cherulil
Kesavan Melarcode Ramanan
Sudeep Vaniyath
Daratumumab for refractory posttransplant autoimmune hemolytic anemia: An option beyond the obvious
Annals of Oncology Research and Therapy
autoimmune cytopenia
daratumumab
posthematopoietic stem cell transplant complications
posttransplant cytopenia
title Daratumumab for refractory posttransplant autoimmune hemolytic anemia: An option beyond the obvious
title_full Daratumumab for refractory posttransplant autoimmune hemolytic anemia: An option beyond the obvious
title_fullStr Daratumumab for refractory posttransplant autoimmune hemolytic anemia: An option beyond the obvious
title_full_unstemmed Daratumumab for refractory posttransplant autoimmune hemolytic anemia: An option beyond the obvious
title_short Daratumumab for refractory posttransplant autoimmune hemolytic anemia: An option beyond the obvious
title_sort daratumumab for refractory posttransplant autoimmune hemolytic anemia an option beyond the obvious
topic autoimmune cytopenia
daratumumab
posthematopoietic stem cell transplant complications
posttransplant cytopenia
url https://journals.lww.com/10.4103/aort.aort_30_24
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AT kesavanmelarcoderamanan daratumumabforrefractoryposttransplantautoimmunehemolyticanemiaanoptionbeyondtheobvious
AT sudeepvaniyath daratumumabforrefractoryposttransplantautoimmunehemolyticanemiaanoptionbeyondtheobvious