Treatment of severe thrombocytopenia associated with systemic lupus erythematosus in pregnancy with eltrombopag: A case report and literature review
| Autor: | Wei Wang, Qianru Leng, Yan Wang, Lujin Wu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pharmacology
Pediatrics medicine.medical_specialty Pregnancy biology business.industry Eltrombopag Gestational age medicine.disease Severe thrombocytopenia Autoimmune thrombocytopenia chemistry.chemical_compound chemistry hemic and lymphatic diseases biology.protein Medicine Pharmacology (medical) Platelet Antibody business Thrombopoietin |
| Zdroj: | Journal of Clinical Pharmacy and Therapeutics. 46:532-538 |
| ISSN: | 1365-2710 0269-4727 |
| DOI: | 10.1111/jcpt.13321 |
| Popis: | What is known and objective Severe thrombocytopenia associated with systemic lupus erythematosus (SLE) in pregnancy is infrequent. Its occurrence can lead to serious adverse pregnancy consequences and perinatal complications. The thrombopoietin (TPO) analogue eltrombopag has been successfully used in the treatment of autoimmune thrombocytopenia, but its safety and efficacy in severe thrombocytopenia during pregnancy remain unclear. Case summary We report a 33-year-old woman with SLE at 29 + 3 weeks gestational age who developed severe thrombocytopenia with complaints of epistaxis, gum bleeding and haematuresis. Most conventional treatments including glucocorticoids, intravenous immunoglobulin (IVIG) and cyclosporine did not elevate her platelets, but eltrombopag worked well and her platelet count gradually recovered, allowing her to deliver a healthy baby at 36 + 3 weeks gestational age. What is new and conclusion This suggests that eltrombopag in combination with glucocorticoids has a good safety and efficacy profile in pregnant patients with SLE complicated by severe thrombocytopenia. |
| Databáze: | OpenAIRE |
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