Read e-book online 31st Hemophilia Symposium Hamburg 2000: Epidemiology PDF

By I. Scharrer (auth.), Professor Dr. med. Inge Scharrer, Professor Dr. med. Wolfgang Schramm (eds.)

ISBN-10: 3540421319

ISBN-13: 9783540421313

ISBN-10: 3642593836

ISBN-13: 9783642593833

Some 23. five% of all contributors and sufferers of remedy facilities accomplished the questionnaire. One outstanding truth is that participation used to be maximum among aged sufferers with critical hemophilia, while in basic terms 12. 2% of relatives spoke back. evaluate of the consequences printed that almost all of members want deal with­ ment in a hemophilia therapy heart with a excessive attractiveness, while in simple terms 2. 7% reflect on therapy in a really good perform to be enough. the explanations for which are the need of the 24-h-availability of a doctor, average certified exam of joints and muscle mass, documentation of product batches, laboratory checks and stable cooperation with different colleges. As many as sixty eight. nine% of the sufferers occasionally shuttle greater than 2 hundred km. What definitely performs a task here's belief within the therapy middle and its physicians, for it really is seen that without reference to the truth that seventy four. three% re­ quested standardized therapy regimens for all remedy facilities, simply approximately 20% might switch to a closer heart. therapy with issue concentrates is mostly thought of to be very secure. that's to claim, fifty eight. 1 % regard recombinant items to be very secure, while in simple terms 24. three% imagine this for plasma items. in comparison, there have been frequently no significant transformations saw concerning end result (factor intake, period of deal with­ ment). raise in greatest garage temperature (47. 2%) and half-life (73%) have been the main widespread solutions to the query of what gains the goods should still have.

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Read Online or Download 31st Hemophilia Symposium Hamburg 2000: Epidemiology Inhibitors in Hemophilia Therapy and Monitoring of Bleeds in Acute and Intensive Care Medicine Pediatric Hemostaseology Case Reports PDF

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Extra info for 31st Hemophilia Symposium Hamburg 2000: Epidemiology Inhibitors in Hemophilia Therapy and Monitoring of Bleeds in Acute and Intensive Care Medicine Pediatric Hemostaseology Case Reports

Sample text

166 respectively. The results of FVIIILCh:Ab IgG subtypes are shown in Table l. The higher relative amount of FVIII-LCh antibodies belonged to IgG4 subtype. The level of FVIII light chain antibodies decreased in the order IgG4> IgG 1> IgG3> IgG2 and was similar to subtype distribution of antibodies against a FVIII whole molecule. OI). OI). Changes in FVIII:Ab IgG Subtype Distribution During the Treatment with Different FVIII Concentrates One low responder hemophilia A patient (patient 2, Fig. 3) was treated with plasma derived FVIII concentrates of different purity for a long time.

The structure of FVIII molecule. VWF binding sites and antibody binding sites are indicated I. ScharrerlW. ) 31 " Hemophilia Symposium Hamburg 2000 © Springer-Verlag Berlin Heidelberg 2002 24 A. Kallas et a1. direct blocking of epitopes on FVIII light chain or by steric hindrance. Most inhibitory antibodies to human factor VIII developed in hemophilia A patients bind to epitopes within A2 domain, C2 domain, and A3-CI domains [4]. Antibodies reacting with C2 domain of the FVIII light chain possess a lower ability to neutralize FVIII coagulation (FVIII:C) activity, when it is in a complex with vWF (FVIII-vWF) [5].

Auerswald, D. Mentzer, J. Joseph-Steiner, T. Beeg, D. Klarmann, I. Scharrer and B. Kornhuber. Immune tolerance therapy on paediatric hemophiliacs with factor VIII inhibitors: 14 years follow-up. Haemophilia 1995; 1: 24-32 11. G. Hodge, R. Flower and P. Han. Effect of factor VIII concentrate on leucocyte cytokine production: characterization of TGF-beta as an immunomodulatory component in plasma- derived factor VIII concentrate. Br J Haematol1999; 106: 784-91 12. M. Mayumi, T. Kuritani, H. Kubagawa and M.

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31st Hemophilia Symposium Hamburg 2000: Epidemiology Inhibitors in Hemophilia Therapy and Monitoring of Bleeds in Acute and Intensive Care Medicine Pediatric Hemostaseology Case Reports by I. Scharrer (auth.), Professor Dr. med. Inge Scharrer, Professor Dr. med. Wolfgang Schramm (eds.)


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