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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 46(1)2021

<Originals> Morbidity and mortality associated with development of hypogammaglobulinemia after Rituximab

https://doi.org/10.15100/00021781
https://doi.org/10.15100/00021781
dba66d8a-286c-4e42-b40e-3498fc3f778a
名前 / ファイル ライセンス アクション
AA0050842X-20210600-0017.pdf AA0050842X-20210600-0017 (230.3 kB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2021-05-20
タイトル
タイトル <Originals> Morbidity and mortality associated with development of hypogammaglobulinemia after Rituximab
言語 en
著者 Hanamoto, Hitoshi

× Hanamoto, Hitoshi

Hanamoto, Hitoshi

ja-Kana ハナモト, ヒトシ

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Yamada, Kaori

× Yamada, Kaori

Yamada, Kaori

ja-Kana ヤマダ, カオリ

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Fujii, Aki

× Fujii, Aki

Fujii, Aki

ja-Kana フジイ, アキ

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Fujimoto, Ko

× Fujimoto, Ko

Fujimoto, Ko

ja-Kana フジモト, コウ

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Fujiwara, Ryosuke

× Fujiwara, Ryosuke

Fujiwara, Ryosuke

ja-Kana フジワラ, リョウスケ

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Shimada, Takahiro

× Shimada, Takahiro

Shimada, Takahiro

ja-Kana シマダ, タカヒロ

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言語
言語 eng
キーワード
主題 hypogammaglobulinemia, malignant lymphoma, rituximab
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
ID登録
ID登録 10.15100/00021781
ID登録タイプ JaLC
著者 所属
値 Department of Hematology, Kindai University,Nara Hospital
著者 所属
値 Department of Hematology, Kindai University,Nara Hospital
著者 所属
値 Department of Hematology and Rheumatology, Kindai University Faculty of Medicine
著者 所属
値 Department of Hematology, Kindai University,Nara Hospital
著者 所属
値 Department of Hematology, Kindai University,Nara Hospital
著者 所属
値 Department of Hematology, Kindai University,Nara Hospital
版
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
出版者 名前
出版者 Kindai University Medical Association
書誌情報 en : ACTA MEDICA KINDAI UNIVERSITY

巻 46, 号 1, p. 17-21, 発行日 2021-06
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866092
抄録
内容記述タイプ Abstract
内容記述 [Abstract] Objective: Low levels of gamma globulin are associated with a risk of infection, and complications of hypogammaglobulinemia are often observed in hematologic malignancies. In chronic lymphocytic leukemia (CLL), IgG ≤ 600 mg/dl is reportedly associated with higher risks of infection. The objective was to determine the infections risks of hypogammaglobulinemia and infection in malignant lymphomas for which rituximab that targets B cells were used. Methods: A retrospective analysis of data from medical records of patients with malignant lymphomas treated with rituximab-containing therapy at our hospital between April 2014 and March 2016 was performed to assess hospitalizations for the risks of infections through an evaluation of IgG levels and deaths due to infections in patients hospitalized with infections during this period. Results: From April 2014 to March 2016, 128 patients with malignant lymphomas received rituximab-containing therapy at our hospital, and 94 (61%) of these patients had IgG levels measured. These 94 patients were included in the analysis. The histological types were as follows: 30 had follicular lymphoma, 17 had indolent nonHodgkin’s lymphoma, 42 had diffuse large B-cell lymphoma, and 5 had Mantle cell lymphoma.The mean minimum IgG level in patients hospitalized for infection was 546 mg/dl and was 628 mg/dl in those not hospitalized (P=0.6). Although a significant difference was not observed, IgG levels tended to be low in hospitalized patients with infection. In addition, there were 4 patients with mean IgG levels that were 600 mg/dl or less during 6 months before hospitalization. Among these 2 died of infection.Conclusions: Low levels of gamma globulin are associated with a risk of mortality due to infections in patients with malignant lymphomas.
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