Treatment of acute idiopathic thrombocytopenic purpura of childhood with intravenous immunoglobulin G: Comparative efficacy of 7S and 5S preparations

A prospective randomized study comparing 7S immunoglobulin G to a 5S IgG preparation for therapy of acute idiopathic thrombocytopenic purpura was conducted. The 5S preparation differed from the 7S preparation in that it lacked part of the Fc portion of the IgG molecule. Both groups were given 400 mg...

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Veröffentlicht in:The Journal of pediatrics 1986-11, Vol.109 (5), p.770-775
Hauptverfasser: Burdach, St.E.G., Evers, K.G., Geursen, R.G.
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container_issue 5
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container_title The Journal of pediatrics
container_volume 109
creator Burdach, St.E.G.
Evers, K.G.
Geursen, R.G.
description A prospective randomized study comparing 7S immunoglobulin G to a 5S IgG preparation for therapy of acute idiopathic thrombocytopenic purpura was conducted. The 5S preparation differed from the 7S preparation in that it lacked part of the Fc portion of the IgG molecule. Both groups were given 400 mg IgG/kg body weight over 5 days. All patients had platelet counts ≤30×10 9/L before IgG infusion. Nine of the 10 patients in the 7S treatment group, compared with three of 10 patients in the 5S treatment group, responded to therapy with an increment in platelet counts >100×10 9/L within 4 days of completing the infusion treatment. Furthermore, the rate of increase of the platelets was more rapid in the 7S group. The results emphasize the efficacy of partial Fc for management of acute idiopathic thrombocytopenic purpura.
doi_str_mv 10.1016/S0022-3476(86)80691-6
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Acute Disease
Adolescent
Biological and medical sciences
Child
Child, Preschool
Clinical Trials as Topic
Female
gamma-Globulins - therapeutic use
Hematologic and hematopoietic diseases
Humans
Male
Medical sciences
Platelet Count
Platelet diseases and coagulopathies
Prospective Studies
Purpura, Thrombocytopenic - blood
Purpura, Thrombocytopenic - therapy
Random Allocation
title Treatment of acute idiopathic thrombocytopenic purpura of childhood with intravenous immunoglobulin G: Comparative efficacy of 7S and 5S preparations
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