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Review Case Reports
Immune Thrombocytopenia in a Kidney Transplant Recipient Treated with Romiplostim.
- Melissa R Laub, Muhammad Saeed, Rajan Kapoor, Allan Krutchik, and Imran Gani.
- Department of Pharmacy, Augusta University Health, Augusta, GA, USA. Electronic address: mlaub@augusta.edu.
- Am. J. Med. Sci. 2022 Jan 1; 363 (1): 69-74.
AbstractWe present a case of immune thrombocytopenia following a living donor kidney transplant. Thrombocytopenia started two days after transplant and continued up to seven weeks after transplant, despite an extensive workup, treatment with steroids, intravenous immune globulin, and alterations in immunosuppression and other medications. In the absence of platelet transfusions, the patient's platelet count remained < 20,000/mm3. Platelet count responded to romiplistim (Nplate®, Amgen Inc.) within two weeks and has remained stable for twelve months after initiation of this agent. The patient's graft function has also been stable. This experience suggests romiplostim is safe and effective for persistent immune thrombocytopenia in kidney transplant recipients.Copyright © 2020 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
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