Download 31st Hemophilia Symposium Hamburg 2000: Epidemiology by I. Scharrer (auth.), Professor Dr. med. Inge Scharrer, PDF

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

Some 23. five% of all contributors and sufferers of therapy facilities accomplished the questionnaire. One impressive truth is that participation was once optimum among aged sufferers with serious hemophilia, while purely 12. 2% of kinfolk answered. assessment of the implications printed that most of members desire deal with­ ment in a hemophilia remedy heart with a excessive popularity, while basically 2. 7% think of remedy in a really expert perform to be enough. the explanations for which are the need of the 24-h-availability of a doctor, usual certified exam of joints and muscle mass, documentation of product batches, laboratory exams and stable cooperation with different colleges. As many as sixty eight. nine% of the sufferers occasionally trip greater than two hundred km. What definitely performs a job here's belief within the remedy middle and its physicians, for it truly is obvious that without reference to the truth that seventy four. three% re­ quested standardized therapy regimens for all remedy facilities, basically 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. compared, there have been often no significant alterations saw concerning consequence (factor intake, length 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 positive aspects the goods should still have.

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Additional resources 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

Example text

Plasma samples were diluted from 1:10 to 1:5000 in TBS, transferred to the wells and incubated for 2 h at 37°C. Bound FVIII antibodies were detected after washing with sheep monoclonal anti-human IgG1, IgG2, IgG3 or IgG4 antibody (CLB, The Netherlands) diluted 1:1000 in TBS by incubating for 1 hat 37°C followed by rabbit anti-sheep IgG-biotin conjugate (diluted 1:1000), incubating for 1 hat RT. Streptavidin - AP conjugate was added to the wells at dilution (1:1000) and incubated for 30 min at RT.

Showed lower neutralization of FVIII concentrate containing vWF by FVIII antibodies of the studied patient and predicted a beneficial outcome using the same concentrate for immune tolerance therapy. The ITT effectively suppressed the production of inhibitory antibodies reacting mainly with FVIII light chain to a nondetectable level. FVIII antibodies of IgG4 subtype dominated over all other subtypes, except IgG 1 subtype at two different time points, where the higher level of IgG 1 was probably caused by the increased dosage of administered FVIII.

Bagnall, I. R. Peake, E. Berntorp, E. P. Mauser-Bunschoten, K. Fijnvandraat, C. K. Kasper, G. White and E. Santagostino. Factor VIII inhibitors in mild and moderate-severity haemophilia A. UK Haemophilia Centre Directors Organisation. Thromb Haemost 1998; 79: 762-6 3. P. J. Lenting, J. A. van Mourik and K. Mertens. The life cycle of coagulation factor VIII in view of its structure and function. Blood 1998; 92: 3983-96 4. D. H. Scandella. Properties of anti-factor VIII inhibitor antibodies in hemophilia A patients.

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