Detection of Specific IgE Antibodies to Nafamostat Mesilate as an Indication of Possible Adverse Effects of Leukocytapheresis using Nafamostat Mesilate as Anticoagulant

: The aim was to determine whether adverse effects of leukocytapheresis (LCAP) are related to nafamostat mesilate (NM) as an anticoagulant. Anti‐NM IgE were detected in inflammatory bowel disease (IBD) patients who were administrated LCAP in our institute. Forty‐nine patients (ulcerative colitis (UC...

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Veröffentlicht in:Therapeutic apheresis 2004-02, Vol.8 (1), p.45-51
Hauptverfasser: Nagase, Kazuko, Fukunaga, Ken, Ohnishi, Kunio, Kusaka, Takeshi, Matoba, Yoshika, Sawada, Koji
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container_end_page 51
container_issue 1
container_start_page 45
container_title Therapeutic apheresis
container_volume 8
creator Nagase, Kazuko
Fukunaga, Ken
Ohnishi, Kunio
Kusaka, Takeshi
Matoba, Yoshika
Sawada, Koji
description : The aim was to determine whether adverse effects of leukocytapheresis (LCAP) are related to nafamostat mesilate (NM) as an anticoagulant. Anti‐NM IgE were detected in inflammatory bowel disease (IBD) patients who were administrated LCAP in our institute. Forty‐nine patients (ulcerative colitis (UC)/Crohn's disease (CD): 30/19) were evaluated. Anti‐NM IgE was measured by the ELISA method. Total IgE level and eosinophil count was tested concurrently. We retrospectively checked the presence of allergic symptoms and medications used concurrently with LCAP. Anti‐NM IgE were present in six symptomatic patients (6/49; 12.2%) whose adverse effects were highly suspected to be from NM. However, 21 patients showed anti NM IgE‐negative, in spite of the fact that their adverse effects were also highly suspected to be from NM. Through the detection of anti‐NM IgE alone we could not estimate the relevance of NM  as  an  anticoagulant  to  the  adverse  effects  of  LCAP.
doi_str_mv 10.1111/j.1526-0968.2004.00086.x
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Through the detection of anti‐NM IgE alone we could not estimate the relevance of NM  as  an  anticoagulant  to  the  adverse  effects  of  LCAP.</description><subject>Adult</subject><subject>Adverse effects</subject><subject>Aged</subject><subject>Anti-nafamostat mesilate IgE</subject><subject>Anticoagulant</subject><subject>Anticoagulants - adverse effects</subject><subject>Anticoagulants - therapeutic use</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Eosinophils - metabolism</subject><subject>Female</subject><subject>Guanidines - adverse effects</subject><subject>Guanidines - therapeutic use</subject><subject>Humans</subject><subject>Immunoglobulin E - blood</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory Bowel Diseases - therapy</subject><subject>Leukapheresis</subject><subject>Leukocytapheresis</subject><subject>Leukocyte Count</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nafamostat mesilate</subject><subject>Retrospective Studies</subject><issn>1744-9979</issn><issn>1091-6660</issn><issn>1744-9987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1uEzEUhS0EoqXwCsgrdjP1z_xZYhPaUFKloahBLC2P5zo4nYzD2FOSN-Ix6yGhrJDwxle655x77Q8hTElK4zlfpzRnRUJEUaWMkCwlhFRFunuGTmmZZYkQVfn8qS7FCXrl_ZoQxjLOX6ITmlNWESpO0a9LCKCDdR12Bt9tQVtjNZ6tpnjSBVu7xoLHweGFMmrjfFAB34C3rQqAlceqw7OusVr9ibh13tu6BTxpHqD3gKfGxAF-7M1huHd6H9T2O_QxxOPB2271r-xxAe3UamhVF16jF0a1Ht4c7zP09eN0efEpmX--ml1M5onOGS-SWlHQhmreFDmnwhiR14VWmaYGDBFgKDe6qIgSORMNUzx-RNFoWgtFRck5P0PvDrnb3v0YwAe5sV5DG3cAN3jJSCkqSkdhdRDqPj65ByO3vd2ofi8pkSMluZYjJTlSkiMl-ZuS3EXr2-OMod5A89d4xBIF7w-Cn7aF_X8Hy-XkNhbRnhzs1gfYPdlVfy-Lkpe5_La4kl_u8g_XN8tLueCPzcazSQ</recordid><startdate>200402</startdate><enddate>200402</enddate><creator>Nagase, Kazuko</creator><creator>Fukunaga, Ken</creator><creator>Ohnishi, Kunio</creator><creator>Kusaka, Takeshi</creator><creator>Matoba, Yoshika</creator><creator>Sawada, Koji</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>200402</creationdate><title>Detection of Specific IgE Antibodies to Nafamostat Mesilate as an Indication of Possible Adverse Effects of Leukocytapheresis using Nafamostat Mesilate as Anticoagulant</title><author>Nagase, Kazuko ; 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Anti‐NM IgE were detected in inflammatory bowel disease (IBD) patients who were administrated LCAP in our institute. Forty‐nine patients (ulcerative colitis (UC)/Crohn's disease (CD): 30/19) were evaluated. Anti‐NM IgE was measured by the ELISA method. Total IgE level and eosinophil count was tested concurrently. We retrospectively checked the presence of allergic symptoms and medications used concurrently with LCAP. Anti‐NM IgE were present in six symptomatic patients (6/49; 12.2%) whose adverse effects were highly suspected to be from NM. However, 21 patients showed anti NM IgE‐negative, in spite of the fact that their adverse effects were also highly suspected to be from NM. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Adverse effects
Aged
Anti-nafamostat mesilate IgE
Anticoagulant
Anticoagulants - adverse effects
Anticoagulants - therapeutic use
Enzyme-Linked Immunosorbent Assay
Eosinophils - metabolism
Female
Guanidines - adverse effects
Guanidines - therapeutic use
Humans
Immunoglobulin E - blood
Inflammatory bowel disease
Inflammatory Bowel Diseases - therapy
Leukapheresis
Leukocytapheresis
Leukocyte Count
Male
Middle Aged
Nafamostat mesilate
Retrospective Studies
title Detection of Specific IgE Antibodies to Nafamostat Mesilate as an Indication of Possible Adverse Effects of Leukocytapheresis using Nafamostat Mesilate as Anticoagulant
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