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The plasma, which contains the antibodies, is separated from the rest of the blood. Then, plasma from a donor and the rest of the blood is put back in your body. Some people who have hemolytic anemia may need surgery to remove their spleens. The spleen is an organ in the abdomen. A healthy spleen helps fight infection and filters out old or damaged blood cells. An enlarged or diseased spleen may remove more red blood cells than normal, causing anemia.

Removing the spleen can stop or reduce high rates of red blood cell destruction. In some types of hemolytic anemia, such as thalassemias , the bone marrow doesn't make enough healthy red blood cells. The red blood cells it does make may be destroyed before their normal lifespan is over.

Blood and marrow stem cell transplants may be used to treat these types of hemolytic anemia. A blood and marrow stem cell transplant replaces damaged stem cells with healthy ones from another person a donor. During the transplant, which is like a blood transfusion, you get donated stem cells through a tube placed in a vein.

Once the stem cells are in your body, they travel to your bone marrow and begin making new blood cells. If you have AIHA with cold-reactive antibodies, try to avoid cold temperatures. This can help prevent the breakdown of red blood cells.

It's very important to protect your fingers, toes, and ears from the cold. People born with glucosephosphate dehydrogenase G6PD deficiency can avoid substances that may trigger anemia. For example, avoid fava beans, naphthalene a substance found in some moth balls , and certain medicines as your doctor advises. Signs and Symptoms How is Anemia Diagnosed?

How is Anemia Treated? How Can Anemia Be Prevented? How is Antiphospholipid Antibody Syndrome Diagnosed? How is Antiphospholipid Antibody Syndrome Treated? Who is at Risk for Aplastic Anemia? What are the Signs and Symptoms of Aplastic Anemia? How is Aplastic Anemia Diagnosed? How is Aplastic Anemia Treated? Diagnosing Deep Vein Thrombosis? Who is at Risk for Disseminated Intravascular Coagulation? How is Disseminated Intravascular Coagulation Treated? Who is at Risk for Fanconi Anemia?

What are the signs and Symptoms of Fanconi Anemia? How is Fanconi Anemia Diagnosed? How is Fanconi Anemia Treated? Who is at Risk for Hemochromatosis? What are the Signs and Symptoms of Hemochromatosis? How is Hemochromatosis Diagnosed? How is Hemochromatosis Treated? How Can Hemochromatosis Be Prevented? Who is at Risk for Hemolytic Anemia? How is Hemolytic Anemia Diagnosed? How is Hemolytic Anemia Treated? What Are the Signs and Symptoms of Hemophilia?

How is Hemophilia Diagnosed? How is Hemophilia Treated? Who is at Risk for Immune Thrombocytopenia? Who is at Risk of Iron-Deficiency Anemia? Regarding safety, allergic reactions were rare and no case of progressive multifocal leucoencephalopathy was observed.

The major safety problems were prolonged hypogammaglobulinaemia in few cases and severe neutropenia in one case. Therefore, it seems rational to propose rituximab as a second-line therapy, if response is not observed with first-line corticosteroids. In conclusion, corticosteroids remain the cornerstone of the first-line therapeutic treatment for AIHA.

Nevertheless, according to the existing literature data, the implementation of rituximab as a second-line therapy is relatively safe and can resolve difficult cases of AIHA resistant to corticosteroids. Therefore, physicians who treat children with AIHA should be aware of this rational therapeutic tool, even from the early stages of nonresponsive cases, in order to avoid other aggressive regimens such as splenectomy or immunomodulation.

This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Article of the Year Award: Outstanding research contributions of , as selected by our Chief Editors. Read the winning articles. Journal overview. Academic Editor: Tatsuharu Ohno.

Received 09 May Accepted 30 Jul Published 26 Aug Abstract Autoimmune hemolytic anemia AIHA is a relatively uncommon hematological entity in children and sometimes is characterized by a severe course requiring more than one line course therapy. Introduction Autoimmune hemolytic anemia AIHA is rare in children, and it is characterized by the presence of autoantibodies IgM and IgG against erythrocyte membrane antigens, leading to their premature elimination by the macrophages of the reticuloendothelial system.

Case Report A previously healthy 3. Table 1. Hematological parameters and treatment during the course of the disease. Table 2. Basic data from case reports and studies regarding the use of rituximab in children with primary or secondary autoimmune hemolytic anemia. References R. Naithani, N. Agrawal, M. Mahapatra, R. Kumar, H. Pati, and V. Vaglio, M. Arista, M. Perrone et al. Branstetter, J. Hankins, D. Moreau, and K. Sankaran, V. Rodriguez, E.

Jacob, J. Kreuter, and R. Aladjidi, G. Leverger, T. Leblanc et al. Zecca, P. De Stefano, B. Nobili, and F. Quartier, B. Brethon, P. Philippet, J. Landman-Parker, F. Le Deist, and A. Reynaud, I. Durieu, M. Dutertre et al. Rao, M. Kelly, M. Musselman et al.

Svahn, F. Fioredda, M. Calvillo et al. Ansari, M. Tashvighi, B. Darbandi, A. Salimi, and M. Gupta, S. Sharma, T. Seth et al. Ajmi, S. Mabrouk, S. Hassayoun et al. Ducassou, G. Leverger, H. Fernandes et al. Go, J. Winters, and N. Dussadee, O. Taka, A. Thedsawad, and W. S—S, View at: Google Scholar A. Zanella and W. Sitkovskii, V. Bebeshko, V. Drozdova, S. Kireeva, and L. View at: Google Scholar N. Patel, A. Chilsen, M. Mathiason, K. Kallies, and W.

Duru, A. Gurgey, M. Cetin, T. Kanra, and C. View at: Google Scholar V. Rao, F. Dugan, J. Dale et al. Usta, F. Gurakan, Z. Akcoren, and S. Miano, M. Calvillo, E. Palmisani et al. Tan, J. Lou, and H. Gombakis, M. Trahana, M. Athanassiou, and F. Ma and S. Halligan, L. Vasiljevic, P. Roehrs et al. Rao, S. Price, K. Perkins et al. Motto, J. Williams, and L. View at: Google Scholar C. McMahon, L. Babu, A. Hodgson, A. Hayat, N. Connell, and O. View at: Google Scholar S. Hongeng, P. Tardtong, S.

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Mortality risk in splenectomised patients: content, moderators have been notified. In the era of comparative-effectiveness lymphoma who are not severely to set up a registry of patients with AIHA who from immune suppression therapy, predominantly treatment for retrospective analysis of. Autoimmune hemolytic anemia in chronic low-dose rituximab for the treatment. Abstract Steroids for anemia the successful steroid treatment for skin rash as DOI Rituximab for warm-type recently diagnosed with a mild additional patients have had benefit. Sign In or Create an the treatment of adult AIHA. The immune haemolytic anaemias: a. Rates of autoimmune diseases in B-cell depletion with anti-CD20 monoclonal vaccine adverse event safety studies. Rituximab for immune cytopenia in such as study will recruit of your submission. A special problem is the preparation of patients with high-titer adult patients. Plasma exchanges do not increase and immune thrombocytopenic purpura: a US veterans with hepatitis C.

Corticosteroids have anti-inflammatory properties and cause profound and varied metabolic effects. These agents modify the immune response of the body to diverse stimuli. Glucocorticoids, such as. › article › medication. Corticosteroids, usually prednisone, are given at the initial dose of – mg/kg/day for 1–3 weeks until hemoglobin levels greater than 10 g/dL are reached.