Document Detail


Pancytopenia with severe thrombocytopenia in a patient treated with twice-weekly LDL-apheresis by polyacrylate adsorption from whole blood.
MedLine Citation:
PMID:  20101676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pancytopenia with severe thrombocytopenia occurred in a patient treated with low-density lipoprotein (LDL)-apheresis by polyacrylate adsorption from whole blood, after treatment frequency had been increased from once to twice a week. Cell counts recovered with discontinuation of LDL-apheresis, but thrombocytopenia recurred after resumption of twice-weekly treatments. Thrombocyte counts remained stable following the replacement of polyacrylate adsorption from whole blood by double-filtration plasmapheresis. The complications' close coincidence with twice-weekly polyacrylate adsorption from whole blood suggests a causal relationship, although by a still unknown mechanism. Monitoring of thrombocytes should be advised in patients treated with LDL-apheresis by polyacrylate adsorption from whole blood.
Authors:
Rainer Nowack; Günther Wiedemann
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical apheresis     Volume:  25     ISSN:  1098-1101     ISO Abbreviation:  J Clin Apher     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-14     Completed Date:  2010-07-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216305     Medline TA:  J Clin Apher     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-80     Citation Subset:  IM    
Affiliation:
Nephrology/Dialysis Centre Lindau, Friedrichshafener Str. 82, Lindau D-88131, Germany. nowack@dialyse-lindau.de
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MeSH Terms
Descriptor/Qualifier:
Acrylic Resins / chemistry*
Adsorption
Adult
Blood Component Removal / methods*
Cholesterol, LDL / blood,  isolation & purification*
Filtration
Humans
Hyperlipoproteinemia Type II / therapy
Male
Pancytopenia / therapy*
Plasmapheresis
Thrombocytopenia / therapy*
Chemical
Reg. No./Substance:
0/Acrylic Resins; 0/Cholesterol, LDL; 9003-01-4/carbopol 940

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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