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Topics:
Pediatric Hematology/Oncology • Rheumatology • Hematology • Pediatric Hematology • Autoimmune Hemolytic Anemia
What is your preferred treatment for refractory warm autoimmune hemolytic anemia with autoimmune neutropenia?
No response to steroids or rituximab. No evidence of hematologic malignancy on bone marrow biopsy.
Answer from: at Academic Institution
For immunomodulation, have you trialed IVIG? If not, this would be worth a trial.
For immunosuppression, I prefer to utilize a more T cell-directed agent after failure of steroids/rituximab. Thus, a trial of MMF or cyclophosphamide may be reasonable. I think MMF may take too long to work in a situa...
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