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Treatment of Rituximab plus MVCP chemotherapy in a patient of refractory NHL with AIHA



Treatment of Rituximab plus MVCP chemotherapy in a patient of refractory NHL with AIHA



Blood 102(11): 296b, November 16



Background: Rituximab (a chimeric anti-CD20 antibody), an active agent against B cell malignancies, is not only used for the treatment of B- cell NHL, but also has recently been used for the treatment of the refractory antibody mediated autoimmune diseases such as immune mediated thrombocytopenia and autoimmune hemolytic anemia (AIHA) etc. Method: We have treated successfully a patient of refractory NHL(B -cell IIIB) with AIHA. A 68 years old woman with NHL and AIHA was treated with chemotherapy included COP, COPP, CHOP, BECHOP, MIV, ESHAP etc and radiotherapy for 7 years. The enlargement of superficial and abdominal lymph nodes and anemia is severe before the treatment of Rituximab plus MVCP (Mitoxantrone, Vumon, CTX, Prednison) chemotherapy. The patient has received 3 times infusion of Rituximab (375mg/m2 per dose) in combination with 3 times of MVCP Chemotherapy and rhG-CSF(Lenograstim). Result: The patient achieved complete remission (CR) and Hemoglobin returned to normal after only 1 dose with Rituximab and MVCP chemotherapy. Conclusion: Our result indicate that the treatment of Rituximab combination with MVCP is effective and suitable for refractory NHL (CD 20+) with AIHA.

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Accession: 035980601

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