Volume 55, Issue 12 pp. 2979-2982
HEMAPHERESIS

Efficacy of plasmapheresis for the treatment of pure red blood cell aplasia after allogeneic stem cell transplantation

Chiara Maria Dellacasa

Corresponding Author

Chiara Maria Dellacasa

SSCVD Trapianto di Cellule Staminali Allogeniche, AOU Cittaà della Salute e della Scienza

Address reprint requests to: Chiara Maria Dellacasa, SSCVD Trapianto di Cellule Staminali Allogeniche, AOU Città Della Salute e Della Scienza, Torino, Italy; e-mail: [email protected].Search for more papers by this author
Stefano D'Ardia

Stefano D'Ardia

SC Ematologia, AOU Città della Salute e della Scienza

Search for more papers by this author
Bernardino Allione

Bernardino Allione

SC Ematologia, AOU Città della Salute e della Scienza

Search for more papers by this author
Semra Aydin

Semra Aydin

SC Ematologia, AOU Città della Salute e della Scienza

Search for more papers by this author
Valter Tassi

Valter Tassi

SC Banca del Sangue, AOU Città della Salute e della Scienza

Search for more papers by this author
Tiziana Francisci

Tiziana Francisci

SC Banca del Sangue, AOU Città della Salute e della Scienza

Search for more papers by this author
Clara Pecoraro

Clara Pecoraro

SC Immunopatologia e Malattie Rare, Ospedale San Giovanni Bosco, Torino, Italy

Search for more papers by this author
Alessandro Busca

Alessandro Busca

SSCVD Trapianto di Cellule Staminali Allogeniche, AOU Cittaà della Salute e della Scienza

Search for more papers by this author
First published: 24 September 2015
Citations: 16

Abstract

BACKGROUND

Pure red blood cell aplasia (PRCA) is a complication of ABO major-incompatible stem cell transplantation, likely due to the persistence of memory B lymphocytes of recipient origin, which produce hemagglutinins against ABO antigens on donor RBCs. At present no standard of care is established for this complication.

CASE REPORT

We report a case of PRCA after allogeneic bone marrow transplantation, successfully treated with plasma exchange (PEX) after failing erythropoietin administration.

RESULTS

The patient fully recovered from RBC aplasia.

CONCLUSION

This case suggests a role for PEX in the treatment of PRCA after allogeneic stem cell transplantation.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.