@article{3096864, title = "Clinical remission following monoclonal anti-CD20 therapy in two children with chronic refractory idiopathic thrombocytopenic purpura", author = "Moschovi, M and Trimis, G and Pergantou, H and Platokouki, H and and Vrachnou, E and Tzortzatou-Stathopoulou, F", journal = "Journal of Paediatrics and Child Health", year = "2005", volume = "41", number = "7", pages = "384-386", publisher = "Wiley", issn = "1034-4810, 1440-1754", doi = "10.1111/j.1440-1754.2005.00641.x", keywords = "anti-CD20 antibody; autoimmune diseases; B cells; chronic refractory immune thrombocytopenic purpura", abstract = "Two patients, a 4-year-old boy and a 6-year-old girl who had a 2-year and a 3-year history of idiopathic thrombocytopenic purpura, respectively, were referred to our Department. Both patients had frequent haemorrhagic events. They received i.v. immunoglobulin, corticosteroids, cyclosporine, interferon alpha-2b and azathioprine, but no clinical remission was established. The girl also underwent splenectomy. Anti-CD20 antibody was administered to both patients at a dose of 375 mg/m(2) once weekly for 4 weeks. No side-effects were detected. During the 18-month follow-up period the patients received no other drug and remained in clinical remission. The B lymphocytes remained undetectable in peripheral blood for 3 months and they progressively increased during the following 4 months. Rituximab is a novel, quite effective, safe treatment of chronic refractory idiopathic thrombocytopenic purpura in childhood. More studies and follow up of patients for longer periods are necessary." }