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Cyclosporine A로 유도된 면역성 혈소판 감소증:당단백 Ib/IX 및 IIb/IIIa에 대한 혈소판 특이항체 검출

Other Titles
 Severe Thrombocytopenia Associated with Cyclosporine-Dependent Antiplatelet Antibody Against Platelet Glycoproteins Ib/IX and Ⅱb/Ⅲa Complexes 
Authors
 박광일  ;  신혜정  ;  김문정  ;  박규은  ;  김현옥  ;  송경순  ;  정현주 
Citation
 Korean Journal of Clinical Pathology (대한임상병리학회지), Vol.18(3) : 464-468, 1998 
Journal Title
 Korean Journal of Clinical Pathology (대한임상병리학회지) 
ISSN
 1015-6445 
Issue Date
1998
Abstract
A 51 year-old woman underwent living related renal transplantation under cyclosporine A immunosuppression, After surgery, she did well initially, but the serum creatinine level subsequently rose to 3,6 mg/dL on postoperative day 95, she was admitted at Severance Hospital for further evaluation. On admission day 4, a renal biopsy was performed, and the microscopic findings revealed an interstitial mononuclear cell infiltrate, suggestive of severe allograft rejection. Because of persistently impaired renal function, the patient was began on twice weekly demooialysis, and the progression of renal deterioration paralleled the onset of a thrombocytopenia. The platelet count dropped to 13×109/L despite daily platelet transfusion. On admission day 19, antiplatelet antibody against the glycoprotein Ib/IX (GP Ib/IX) and glycoprotein Ⅱb/Ⅲa (GP Ⅱb/Ⅲa) complex was detected in the presence of cyclosporine A (CsA) with modified antigen capture ELISA (MACE) assay, thereby implicating the drug. CsA was stopped immediately and immunosuppression drug was changed to FK506. After CsA was discontinued 7 day later, her platelet count returned to normal, up to 170× 109/L without requirement of any platelet concentrates. This paper presents the first case of CsA induced thrombocytopenia in Korea which was confirmed by in vitro CsA dependent antiplatelet antibody detection test.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Ok(김현옥) ORCID logo https://orcid.org/0000-0002-4964-1963
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176730
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