Desensitization of an adult patient with Pompe disease and a history of anaphylaxis to alglucosidase alfa

被引:23
|
作者
Lipinski, Shawn E. [1 ]
Lipinski, Michael J. [2 ]
Burnette, Autumn [3 ]
Platts-Mills, Thomas A. [3 ]
Wilson, William G. [1 ]
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
关键词
Pompe disease; Enzyme replacement therapy; Lysosomal storage disease; Anaphylaxis; Allergy;
D O I
10.1016/j.ymgme.2009.07.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:319 / 321
页数:3
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