To the Editor: Casadevall et al. (March 7 issue)1 describedthe development of autoantibodies against erythropoietin ina patient with pure red-cell aplasia. The authors report thepresence of IgG antibodies against endogenous erythropoietin,but there are few reports on antibodies against recombinanthuman erythropoietin (rHuEPO).2,3,4
Recently, we saw a 38-year-old man treated by hemodialysis whowas resistant to rHuEPO and who had anti-rHuEPO antibodies inhis serum. An initial adequate response to rHuEPO (20 U perkilogram of body weight subcutaneously three times a week) wasfollowed eight months later by a lack of response, despite theadministration of . . . [Full Text of this Article]
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