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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2002-01-0087.
Submitted January 14, 2002
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Johns Hopkins, Baltimore, MD, USA * Corresponding author; email: rbrodsky{at}jhmi.edu.
High-dose cyclophosphamide, without stem cell rescue, has been used successfully to treat aplastic anemia and other autoimmune disorders. To determine the safety and efficacy of high dose cyclophosphamide among patients with severe refractory autoimmune hemolytic anemia, we treated 9 patients with cyclophosphamide (50mg/kg/d for 4 days) who had failed a median of 3 (range; 1-7) other treatments. The median hemoglobin (HB) before treatment was 6.7 (range; 5-10) g/dl. The median time to reach an absolute neutrophil count (ANC)
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