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Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Blood+Res 2013 ; 3 (3): 260-4 Nephropedia Template TP
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Romiplostim for delayed platelet recovery and secondary thrombocytopenia following allogeneic stem cell transplantation #MMPMID23997988
Poon LM; Di Stasi A; Popat U; Champlin RE; Ciurea SO
Am J Blood Res 2013[]; 3 (3): 260-4 PMID23997988show ga
Delayed recovery of platelet count post allogeneic hematopoietic stem cell transplantation (allo-HSCT) has been associated with worse transplant outcomes. Thrombopoietic agents have been successfully used in immune mediated thrombocytopenia or thrombocytopenia from bone marrow failure syndromes; however, the experience regarding their use after allo-HSCT is limited. Here we report on the safety and efficacy of romiplostim used in 3 consecutive patients with thrombocytopenia post allogeneic transplantation. Two patients had prolonged platelet recovery due to poor graft function while one had secondary failure of platelet recovery, likely immune mediated, post transplantation. Successful use of such agents post-transplant may improve platelet recovery, decrease rates of complications and potentially improve outcomes.