Immune Thrombocytopenia, Systemic Lupus Erythematosus
Conditions
Keywords
secondary ITP, hydroxychloroquine, Systemic Lupus Erythematosus
Brief summary
Retrospective study of the safety and efficacy of hydroxychloroquine among patients with immune Thrombopenia (ITP).
Detailed description
Hydroxychloroquine (HCQ) is usually used in Patients with Systemic Lupus Erythematosus (SLE) in order to treat mainly arthralgia or skin manifestations of this disease. A few studies have previously shown that HCQ could also be useful for treating autoimmune cytopenia and particularly autoimmune thrombopenia associated with SLE. In this retrospective study, the investigators have selected patients followed in our center and who have received HCQ either for an authentic SLE or because they had positive antinuclear antibodies (\> 1/160e on HEP2 cells) without a definite SLE according to the American College of Rheumatology. The main goal of this study is to compare the efficacy of HCQ in these two subgroups of patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients older than 18 years old * Immune Thrombopenia according to the American Society of Hematology (ASH) guidelines 2011 * Positive antinuclear antibodies \> 1/160e on Hep2 cells
Exclusion criteria
* Secondary ITP (eg HIV, HCV, HBV, lymphoproliferative disorders...)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients achieving a response (Platelet count > 30x10^9/L and doubling of the baseline count) or a complete response (platelet count > 100x10^9/L for a t least 6 months) | one year | Time to achieve a response, concomittant(s) treatment(s), need for an emergency treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tolerance of Hydroxychloroquine | one year | allergy, myopathy HCQ induced |