Antibody-mediated pure red cell aplasia in chronic kidney disease patients receiving erythropoiesis-stimulating agents: new insights
Author(s) -
Iain C. Macdougall,
Simon D. Roger,
Angel de Francisco,
David Goldsmith,
Huub Schellekens,
Hans C. Ebbers,
Wolfgang Jelkmann,
Gérard M. London,
Nicole Casadevall,
Walter H. Hörl,
D.M. Kemeny,
Carol A. Pollock
Publication year - 2012
Publication title -
kidney international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.499
H-Index - 276
eISSN - 1523-1755
pISSN - 0085-2538
DOI - 10.1038/ki.2011.500
Subject(s) - pure red cell aplasia , erythropoiesis , medicine , antibody , immunology , disease , anemia , bone marrow
Antibody-mediated pure red cell aplasia is a very rare but devastating condition affecting patients receiving treatment with erythropoiesis-stimulating agents. New cases continue to emerge, generally in clusters, consistent with an 'environmental' trigger to its pathogenesis. Defining the causes of antibody-mediated pure red cell aplasia is clearly of importance for patients with chronic kidney disease, but any developments in this area may also have relevance to other disease areas as therapeutic delivery of endogenous proteins rapidly increases. This review focuses on the current knowledge regarding the etiology of antibody-mediated pure red cell aplasia and the current approach to therapy.
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