Successful re-introduction of recombinant human erythropoietin following antibody induced pure red cell aplasia

Abstract
Reports of pure red cell aplasia (PRCA) secondary to recombinant human erythropoietin (rHuEPO), predominantly following the administration of subcutaneous (s.c.) epoetin alfa, have increased dramatically over the past 3 years. Treatment with immunosuppressive agents has been partially successful in some patients, rendering them transfusion independent. To date there are no reports describing the re-introduction of rHuEPO.