Sociedad Argentina de Hematología

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Revista Argentina de Hematología

Abstract

Volumen:    22    # Number : 2

Publication Date :    Mayo - Agosto    Year:    2018

   CASO CLÍNICO

Immunohematological finding anticipates refractoriness to treatment with daratumumab in a patient with multiple myeloma

Authors: Andrade Vera K, Fischman L, Bambés G, Bartolomeo S, Carreras Vescio LA

Abstract: Daratumumab (DARA) is a human monoclonal antibody that targets CD38. It is used for the treatment of patients with refractory/relapse multiple myeloma. DARA interferes with immunohematological tests, causing positive agglutination reactions in indirect antiglobulin tests, antibody screening tests and crossmatches, from the beginning of the treatment until several months after finished. We describe the case of a 65-years old patient with relapsed multiple myeloma treated with DARA. It was confirmed positivization in its immunohematological tests as planned, but evolving with a premature and unexpected negativization. The patient was refractory to this treatment. Thisatypical immunohematological finding could be dueto the development of anti-DARA antibodies.

Key words: daratumumab, multiple myeloma, anti-CD38 immunohematologic interference, inhibitor antibodies.

Pages : 185-187

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