Table 6.

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 
 
90 0.7 
110 0.4 
130 −13 2.8 
150 25 1.1 
150 −5 1.7 
 Median 3 1.1 
200 17/526-150 0.6 
200 0.4 
200 59 0.4 
200 13/306-150 0.5 
10 200 2.2 
11 200 135 1.6 
 Median 15 0.55 
(B) Subcutaneous administration of anti-D 
 
80 +1.2 
80 −11 +0.8 
80 −10 0.5 
106-151 80 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 
 
90 0.7 
110 0.4 
130 −13 2.8 
150 25 1.1 
150 −5 1.7 
 Median 3 1.1 
200 17/526-150 0.6 
200 0.4 
200 59 0.4 
200 13/306-150 0.5 
10 200 2.2 
11 200 135 1.6 
 Median 15 0.55 
(B) Subcutaneous administration of anti-D 
 
80 +1.2 
80 −11 +0.8 
80 −10 0.5 
106-151 80 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.

F6-150

Two patients responded only on day 14.

F6-151

Patient no. 10 was also treated with 80 μg/kg Rhogam, an intramuscular form of anti-D, with no response.

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