Cytotoxic Antibody Complicating Platelet Support in Acute Leukemia: Response to Chemotherapy

David Green, Aurelio Tiro, James Basiliere, Kamal K. Mittal

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Lymphocytotoxic or thrombocytolytic antibodies were detected in 11 of 25 thrombocytopenic patients receiving repeated platelet transfusions. Platelet survival times were reduced in these patients (half-life [T/2], 32 hours) as compared to patients without antibody (T/2, 51 hours, P <.05). In one woman with acute myeloblastic leukemia and a potent platelet antibody, combination chemotherapy resulted in a profound decrease in circulating γ globulin and concurrent disappearance of the cytotoxic antibody. The survival of transfused platelets in this patient was dramatically improved, and bleeding was controlled.

Original languageEnglish (US)
Pages (from-to)1044-1046
Number of pages3
JournalJAMA: The Journal of the American Medical Association
Volume236
Issue number9
DOIs
StatePublished - Aug 1976
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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