Intravenous immunoglobulin and anti-D in idiopathic thrombocytopenic purpura (ITP): mechanisms of action

A H Lazarus, J Freedman, J W Semple

Research output: Contribution to journalReview articlepeer-review

Abstract

Infusion of large amounts of intravenous immunoglobulin (IVIG) or anti-D can reverse the low platelet count in patients with ITP within hours of the initiation of treatment. In some cases, the effects of IVIG appear to far outlast several half-lives of the product. Several mechanisms have been proposed to explain these rapid and long term effects and these will be discussed in this review.

Original languageEnglish
Pages (from-to)289-94
JournalTransfusion Science
Volume19
Issue number3
DOIs
Publication statusPublished - 1998 Sept
Externally publishedYes

Subject classification (UKÄ)

  • Hematology

Free keywords

  • Antibodies, Anti-Idiotypic/immunology
  • Autoantibodies/immunology
  • Autoimmune Diseases/immunology
  • Blood Platelets/immunology
  • Clinical Trials as Topic
  • Half-Life
  • Humans
  • Immunoglobulin G/immunology
  • Immunoglobulin M/immunology
  • Immunoglobulins, Intravenous/therapeutic use
  • Isoantibodies/therapeutic use
  • Macrophage Activation
  • Mononuclear Phagocyte System/physiopathology
  • Purpura, Thrombocytopenic, Idiopathic/immunology
  • Rho(D) Immune Globulin

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