000 02348cam a2200301 4500500
005 20250112032609.0
041 _afre
042 _adc
100 1 0 _aFukuzono, Maki
_eauthor
700 1 0 _a Okiyama, Naoko
_eauthor
700 1 0 _a Iwasaki, Riko
_eauthor
700 1 0 _a Endo, Ruriko
_eauthor
700 1 0 _a Sasaki, Katsuhito
_eauthor
700 1 0 _a Inoue, Sae
_eauthor
700 1 0 _a Nomura, Toshifumi
_eauthor
245 0 0 _aIntravenous immunoglobulin-induced thrombocytopenia: a case report and review of the literature
260 _c2023.
500 _a10
520 _aBackground. Intravenous immunoglobulin (IVIG), a pooled blood product acquired from multiple healthy donors, is an effective treatment for various types of autoimmune diseases, haematological disorders, and infectious diseases. Adverse haematological events such as throm-bocytopenia are rarely caused by IVIG. Objectives. To investigate the phenomenon of IVIG-induced thrombocytopenia. Materials & Methods. A case study and a review of the previous literature based on a search using MEDLINE (PubMed) and ICHUSHI (for Japanese literature) electronic databases. Results. The present case of dermatomyositis exhibited two episodes of IVIG-induced thrombocytopenia, which occurred a few days after initiating IVIG and was significant within two weeks without haemorrhagic symptoms. Spontaneous remission of thrombocytopenia was repeatedly observed. Based on a review of five cases, the underlying disorders were autoimmune bullous diseases in three of the five cases. Polyethylene glycol-treated human immunoglobulin products were used in three of the five cases. The clinical course of IVIG-induced thrombocytopenia was similar to that in our present case. Conclusion. Because of the rarity of severe haemorrhagic symptoms and spontaneous remission of IVIG-induced thrombocytopenia, discontinuation of IVIG due to thrombocytopenia is not straightforward.
690 _athrombocytopenia
690 _aadverse event
690 _aintravenous immunoglobulin
690 _athrombocytopenia
690 _aadverse event
690 _aintravenous immunoglobulin
786 0 _nEuropean Journal of Dermatology | 21 | 3 | 2023-09-26 | p. 373-376 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/journal-european-journal-of-dermatology-2022-3-page-373?lang=en
999 _c160372
_d160372