Splenectomized Patients: Treatment With High Doses of Anti-D
Patient No. . | Dose (μg/kg) . | Platelet Increase (×1,000/μL) . | Hemoglobin Decrease (g/dL) . |
---|---|---|---|
(A) IV administration of anti-D | |||
1 | 90 | 4 | 0.7 |
2 | 110 | 3 | 0.4 |
3 | 130 | −13 | 2.8 |
4 | 150 | 25 | 1.1 |
5 | 150 | −5 | 1.7 |
Median | 3 | 1.1 | |
6 | 200 | 17/526-150 | 0.6 |
7 | 200 | 3 | 0.4 |
8 | 200 | 59 | 0.4 |
9 | 200 | 13/306-150 | 0.5 |
10 | 200 | 7 | 2.2 |
11 | 200 | 135 | 1.6 |
Median | 15 | 0.55 | |
(B) Subcutaneous administration of anti-D | |||
6 | 80 | 3 | +1.2 |
7 | 80 | −11 | +0.8 |
9 | 80 | −10 | 0.5 |
106-151 | 80 | 3 | 0.1 |
11 | 80 | 34 | 0.3 |
Median | 3 | +0.5 |
Patient No. . | Dose (μg/kg) . | Platelet Increase (×1,000/μL) . | Hemoglobin Decrease (g/dL) . |
---|---|---|---|
(A) IV administration of anti-D | |||
1 | 90 | 4 | 0.7 |
2 | 110 | 3 | 0.4 |
3 | 130 | −13 | 2.8 |
4 | 150 | 25 | 1.1 |
5 | 150 | −5 | 1.7 |
Median | 3 | 1.1 | |
6 | 200 | 17/526-150 | 0.6 |
7 | 200 | 3 | 0.4 |
8 | 200 | 59 | 0.4 |
9 | 200 | 13/306-150 | 0.5 |
10 | 200 | 7 | 2.2 |
11 | 200 | 135 | 1.6 |
Median | 15 | 0.55 | |
(B) Subcutaneous administration of anti-D | |||
6 | 80 | 3 | +1.2 |
7 | 80 | −11 | +0.8 |
9 | 80 | −10 | 0.5 |
106-151 | 80 | 3 | 0.1 |
11 | 80 | 34 | 0.3 |
Median | 3 | +0.5 |
Platelet increase and hemoglobin decrease were evaluated 7 to 14 days after treatment. Median values for day 7 platelet and hemoglobin changes are shown.
Two patients responded only on day 14.
Patient no. 10 was also treated with 80 μg/kg Rhogam, an intramuscular form of anti-D, with no response.