Table 2

Summary of patients who developed a secondary autoimmune disorder

Primary diseaseRegimenCD34-selected PBSCsCurrent status of primary diseaseSecondary autoimmune disorder (time of onset)Treatment of secondary disorderOutcome of secondary disorder
SLE Cy/ATG Yes Remission FVIII inhibitor (30 mo) FVIIa, RTX, pred Resolved 
SLE Cy/ATG Yes Persistent FVIII inhibitor (9 mo) FVIIa, MP, RTX, Cy, MMF Resolved 
MS Cy/alemtuzumab No Remission ITP (8 mo) IVIG, MP, RTX, pred Resolved 
SSc Cy/alemtuzumab No Remission AIHA (5 mo) IVIG, MP, MMF, pred, RTX, Cy Controlled 
SLE Cy/alemtuzumab No Remission Autoimmune neutropenia/AIHA (2 mo) IVIG, MP, RTX, Cy, MMF, pred, tacrolimus, splenectomy Controlled 
MS Cy/alemtuzumab No Remission ITP (14 mo) IVIG, MP, RTX, MMF Resolved 
Primary diseaseRegimenCD34-selected PBSCsCurrent status of primary diseaseSecondary autoimmune disorder (time of onset)Treatment of secondary disorderOutcome of secondary disorder
SLE Cy/ATG Yes Remission FVIII inhibitor (30 mo) FVIIa, RTX, pred Resolved 
SLE Cy/ATG Yes Persistent FVIII inhibitor (9 mo) FVIIa, MP, RTX, Cy, MMF Resolved 
MS Cy/alemtuzumab No Remission ITP (8 mo) IVIG, MP, RTX, pred Resolved 
SSc Cy/alemtuzumab No Remission AIHA (5 mo) IVIG, MP, MMF, pred, RTX, Cy Controlled 
SLE Cy/alemtuzumab No Remission Autoimmune neutropenia/AIHA (2 mo) IVIG, MP, RTX, Cy, MMF, pred, tacrolimus, splenectomy Controlled 
MS Cy/alemtuzumab No Remission ITP (14 mo) IVIG, MP, RTX, MMF Resolved 

PBSCs indicates peripheral blood stem cells; HSCT, hematopoietic stem cell transplantation; SLE, systemic lupus erythematosus; MS, multiple sclerosis; SSc, systemic sclerosis; Cy, cyclophosphamide; ATG, antithymocyte globulin; FVIII, factor VIII; ITP, immune thrombocytopenia purpura; AIHA, autoimmune hemolytic anemia; FVIIa, recombinant activated factor VII; RTX, rituximab; pred, prednisone; MP, methylprednisolone; MMF, mycophenolate mofetil; and IVIG, intravenous immunoglobulin.

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