Desensitization of an adult patient with Pompe disease and a history of anaphylaxis to alglucosidase alfa
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作者:
Lipinski, Shawn E.
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Univ Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USAUniv Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USA
Lipinski, Shawn E.
[1
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Lipinski, Michael J.
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Univ Virginia Hlth Syst, Dept Internal Med, Charlottesville, VA 22908 USAUniv Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USA
Lipinski, Michael J.
[2
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Burnette, Autumn
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Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USAUniv Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USA
Burnette, Autumn
[3
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Platts-Mills, Thomas A.
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Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USAUniv Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USA
Platts-Mills, Thomas A.
[3
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Wilson, William G.
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Univ Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USAUniv Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USA
Wilson, William G.
[1
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机构:
[1] Univ Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USA
[2] Univ Virginia Hlth Syst, Dept Internal Med, Charlottesville, VA 22908 USA
[3] Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA
We report on the successful desensitization of an adult female with Pompe disease who had previously experienced anaphylaxis to intravenous alglucosidase alfa therapy. The starting alglucosidase alfa dose for desensitization was 10 mg/kg with gradual dose escalation and desensitization via serial dilution was completed over five infusions. This methodology serves as a means to desensitize patients with prior anaphylactic response to alglucosidase alfa so that enzyme replacement therapy can be utilized. (C) 2009 Elsevier Inc. All rights reserved.
机构:
Univ Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USAUniv Virginia Hlth Syst, Dept Pediat, Div Med Genet, Charlottesville, VA 22908 USA