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Idiopathic thrombocytopenic purpura treatment in a relapsed/refractory multiple myeloma patient after chimeric antigen receptor T cell therapy

机译:嵌合抗原受体T细胞治疗后复发/难治性多发性骨髓瘤患者的特发性血小板减少性紫癜治疗

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摘要

The adoptive transfer of CAR-T cells, which are modified T cells expressing chimeric antigen receptors (CARs), to target B cell maturation antigen (BCMA) has demonstrated impressive results in treating relapsed/refractory multiple myeloma. Although BCMA CAR-T therapy induces certain complications in some patients, idiopathic thrombocytopenic purpura (ITP) has not been reported as one of them. To the best of our knowledge, this is the first report of the successful treatment of ITP that arose in a relapsed/refractory multiple myeloma patient following anti-BCMA CAR-T cell infusion. Herein, we describe this relatively uncommon complication and provide guidance on its treatment.
机译:作为表达嵌合抗原受体(CAR)的修饰T细胞的CAR-T细胞过继转移至靶B细胞成熟抗原(BCMA)已证明在治疗复发/难治性多发性骨髓瘤方面取得了令人印象深刻的结果。尽管BCMA CAR-T治疗在某些患者中引起某些并发症,但尚未报道特发性血小板减少性紫癜(ITP)是其中之一。据我们所知,这是首次成功治疗ITP的报告,该ITP是抗BCMA CAR-T细胞输注后复发/难治性多发性骨髓瘤患者的成功案例。本文中,我们描述了这种相对罕见的并发症,并为其治疗提供了指导。

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