Therapeutic plasma exchange: A life-saving modality in Wegener's granulomatosis

Autor: Archana Solanki, Ashutosh Singh, Abhishek Chauhan, Tulika Chandra, D Himanshu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Asian Journal of Transfusion Science, Vol 14, Iss 2, Pp 203-205 (2020)
Druh dokumentu: article
ISSN: 0973-6247
1998-3565
DOI: 10.4103/ajts.AJTS_89_19
Popis: We report a case of Wegener's granulomatosis (WG) who very well responded to the combination strategy of therapeutic plasma exchange (TPE) and immunosuppression. The patient was a 38-year-old female, diagnosed with severe form of WG. A total of seven cycles was performed with 1.3 total plasma volumes (TPVs) on every alternate day. Standard induction therapy was also started that comprised of a combination of 500 mg intravenous (i.v.) cyclophosphamide and methylprednisolone 1 g slow i.v. daily for 3 days followed by oral prednisolone 60 mg daily for 4 weeks. After seven cycles of TPE, the patient improved and hence TPE was stopped.
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