Wilate((R)) is a dual-virally
inactivated pd-concentrate, produced specifically for the treatment of VWD, containing physiological (1:1) ratios of VWF: FVIII. We reviewed efficacy and safety of Wilate((R)) usage (2007-2012) at our centre including 2years following product switching the majority of patients. Clinical and laboratory data of all adult patients treated with Wilate((R)) during the study period were evaluated. Fifty four patients used 3972150IU of Wilate((R)) (1378 infusions) between 1/3/07 and 1/5/12. Efficacy was rated as being excellent or good in 94% of surgical episodes (n=70; 34 patients) and 98% of bleeding/traumatic episodes (n=46; 25 patients). Eight patients Selleckchem Salubrinal (2636100IU) were managed on home treatment regimens. Two patients switched to Wilate((R)) prophylaxis in the evaluation period, demonstrating similar efficacy to a previous product. Incremental
recoveries (n=37) were 2.24IUdL(-1) per IUkg(-1) for FVIII:C, 2.39IUdL(-1) per IUkg(-1) for VWF:Ag and 1.88IUdL(-1) per IUkg(-1) for VWF:RCo. Six adverse events occurred in six patients (11.1% patients) over 1378 infusions (0.44%). Half of these were retrospectively felt to be infusion speed related. No notable accumulation of FVIII was seen in patients treated for 3days. There was no treatment failure, thrombosis, transfusion transmitted infection or inhibitory VWF antibodies seen. Our findings confirm safety and efficacy of Wilate((R)) in an adult VWD population with lack of notable FVIII accumulation.”
“Goodpasture’s syndrome (GS) is a rare and organ-specific autoimmune disease that is mediated by anti-glomerular basement membrane (anti-GBM) Selleckchem MI-503 antibodies and has pathology characterized by crescentic glomerulonephritis with linear immunofluorescent staining for IgG on the GBM. It typically presents as acute renal failure caused by a rapidly progressive glomerulonephritis, accompanied by pulmonary hemorrhage that may be lifethreatening. It was first described as a distinctive syndrome by Pasture in 1919. Autoimmune Inner Ear Disease (AIED) may be associated. The etiology of GS is unknown.
Researchers hypothesized a genetic predisposition HLA-associated. Complex immunological mechanisms are in the pathogenesis. The disease is caused by autoantibodies against the NC1 domain of the alpha 3 chain of type this website IV collagen. The limited presence of this molecule in the body explains the interest confined to specific target organs, such as the lung and kidney. It occurs when the immune system attacks the walls of the lungs and the tiny filtering units in the kidneys. Without prompt diagnosis and treatment, the disease can lead to bleeding in the lungs, kidney failure, and even death. (C) 2014 Elsevier B.V. All rights reserved.”
“Context: Anti-Mullerian hormone (AMH) has emerged as a marker of ovarian reserve and a possible surrogate measure of reproductive aging.