作者
Rebecca Karp Leaf, Christopher Ferreri, Deepa Rangachari, James Mier, Wesley Witteles, George Ansstas, Theodora Anagnostou, Leyre Zubiri, Zofia Piotrowska, Thein H Oo, David Iberri, Mark Yarchoan, April KS Salama, Douglas B Johnson, Andrew D Leavitt, Osama E Rahma, Kerry L Reynolds, David E Leaf
发表日期
2019/5
期刊
American journal of hematology
卷号
94
期号
5
页码范围
563-574
出版商
John Wiley & Sons, Inc.
简介
Immune checkpoint inhibitors (ICPis) are a novel class of immunotherapeutic agents that have revolutionized the treatment of cancer; however, these drugs can also cause a unique spectrum of autoimmune toxicity. Autoimmune hemolytic anemia (AIHA) is a rare, but often severe, complication of ICPis. We identified 14 patients from nine institutions across the United States who developed ICPi‐AIHA. The median interval from ICPi initiation to development of AIHA was 55 days (interquartile range [IQR], 22‐110 days). Results from the direct antiglobulin test (DAT) were available for 13 of 14 patients: 8 patients (62%) had a positive DAT and 5 (38%) had a negative DAT. The median pretreatment and nadir hemoglobin concentrations were 11.8 g/dL (IQR, 10.2‐12.9 g/dL) and 6.3 g/dL (IQR, 6.1‐8.0 g/dL), respectively. Four patients (29%) had a preexisting lymphoproliferative disorder, and two (14%) had a …
引用总数
2019202020212022202320244915161014
学术搜索中的文章