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Article: Hypovitaminosis D Influences the Clinical Presentation of Immune Thrombocytopenia in Children with Newly Diagnosed Disease.

Petrovic, Davor / Benzon, Benjamin / Batinic, Marijan / Culic, Srđana / Roganovic, Jelena / Markic, Josko

2019 Volume 8, Issue 11

Abstract: Immune thrombocytopenia (ITP) is an acquired autoimmune disorder characterized by isolated thrombocytopenia defined as platelet count in peripheral blood <100 × ... ...

Abstract	Immune thrombocytopenia (ITP) is an acquired autoimmune disorder characterized by isolated thrombocytopenia defined as platelet count in peripheral blood <100 × 10
Language	English
Publishing date	2019-11-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm8111861
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Article ; Online: Serum vitamin D levels in children with newly diagnosed and chronic immune thrombocytopenia.

Čulić, Srđana / Markić, Joško / Petrović, Davor / Konjevoda, Paško / Pavelić, Jasminka

Seminars in hematology

2016 Volume 53 Suppl 1, Page(s) S67–9

Abstract: The primary objective of the study was to assess the vitamin D (VD) status of patients suffering from ITP. Children from the case cohort (total 21) were recruited from chronic ITP patients (followed as outpatients) and newly diagnosed ITP (prospective ... ...

Abstract	The primary objective of the study was to assess the vitamin D (VD) status of patients suffering from ITP. Children from the case cohort (total 21) were recruited from chronic ITP patients (followed as outpatients) and newly diagnosed ITP (prospective study) patients. VD deficiency (values <75 nmol/L) was detected in 11 patients with newly diagnosed ITP, and seven patients with chronic ITP. Only three patients with newly diagnosed, and none with chronic ITP had normal VD values. Newly diagnosed ITP patients had statistically significantly higher values (P <.044) of VD than the patients with chronic type of ITP. Platelets values did not follow VD level. VD deficiency is very common in children with either newly diagnosed or chronic ITP form. Therefore there is a utility supplementing VD in these patients. To investigate the role of VD as an immune modulating drug for patients with ITP, a prospective randomized placebo-controlled trial needs to be performed.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Chronic Disease ; Cohort Studies ; Female ; Humans ; Male ; Purpura, Thrombocytopenic, Idiopathic/blood ; Purpura, Thrombocytopenic, Idiopathic/immunology ; Vitamin D/blood
Chemical Substances	Vitamin D (1406-16-2)
Language	English
Publishing date	2016-04-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	206923-4
ISSN	1532-8686 ; 0037-1963
ISSN (online)	1532-8686
ISSN	0037-1963
DOI	10.1053/j.seminhematol.2016.04.020
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Zs.A 328: Show issues

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Article: Recombinant factor VIIa for refractive haemorrhage in autoimmune idiopathic thrombocytopenic purpura.

Culić, Srdana

British journal of haematology

1999 Volume 120, Issue 5, Page(s) 909–910

MeSH term(s)	Child ; Chronic Disease ; Epistaxis/prevention & control ; Factor VII/therapeutic use ; Factor VIIa ; Female ; Hemostatics/therapeutic use ; Humans ; Purpura, Thrombocytopenic, Idiopathic/complications ; Recombinant Proteins/therapeutic use
Chemical Substances	Hemostatics ; Recombinant Proteins ; Factor VII (9001-25-6) ; recombinant FVIIa (AC71R787OV) ; Factor VIIa (EC 3.4.21.21)
Language	English
Publishing date	1999-08-11
Publishing country	England
Document type	Case Reports ; Letter
ZDB-ID	80077-6
ISSN	1365-2141 ; 0007-1048
ISSN (online)	1365-2141
ISSN	0007-1048
DOI	10.1046/j.1365-2141.2003.04151_2.x
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Article ; Online: Relationship between previous maternal transfusions and haemolytic disease of the foetus and newborn mediated by non-RhD antibodies.

Dajak, Slavica / Culić, Srđana / Stefanović, Vedran / Lukačević, Jelena

Blood transfusion = Trasfusione del sangue

2013 Volume 11, Issue 4, Page(s) 528–532

Abstract: Background: The aim of this study was to determine the relationship between non-RhD immunisation and the consequent development of haemolytic disease of the newborn in pregnant women with a history of red blood cell transfusion compared to those without ...

Abstract	Background: The aim of this study was to determine the relationship between non-RhD immunisation and the consequent development of haemolytic disease of the newborn in pregnant women with a history of red blood cell transfusion compared to those without a history of transfusion. Materials and methods: This retrospective cohort study included all pregnancies with red blood cell antibodies that were tested between 1993 and 2010. Data were obtained from the forms for immunisation tracking at the Department of Transfusion Medicine. Each form contained data on previous maternal transfusions, antibody specificities and whether the antibodies caused haemolytic disease of the newborn. Results: Clinically significant non-RhD antibodies was found in 214 of 108,000 pregnancies, of which the most frequent were anti-E (n =55), anti-K (n =54), and anti-c (n =52) antibodies. A history of red blood cell transfusion was identified in 102 (48%) of the pregnancies in which non-RhD antibodies were found (in 78% of the anti-K cases, 40% of the anti-c and 18% of the anti-E cases). Non-RhD antibodies caused haemolytic disease of the newborn in 44 cases of which 14 were very severe (2 anti-K, 8 anti-c, 3 anti-Rh17, 1 anti-E). The mother had a positive history of red blood cell transfusion in 39% of the cases of haemolytic disease of the newborn. Anti-c antibodies were involved in all cases with severe haemolytic disease of the newborn and a history of maternal red blood cell transfusion. Conclusion: Primary prevention by using K-negative, Rhc-, RhE-, and RhC-compatible red blood cell transfusion for women younger than 45 years may prevent up to 40% of cases of haemolytic disease of the newborn. Rhc compatibile transfusion is the most important prevention strategy against severe haemolytic disease of the newborn caused by non-RhD antibodies.
MeSH term(s)	Adult ; Age Factors ; Erythroblastosis, Fetal/blood ; Erythroblastosis, Fetal/epidemiology ; Erythroblastosis, Fetal/etiology ; Erythrocyte Transfusion/adverse effects ; Female ; Follow-Up Studies ; Humans ; Infant, Newborn ; Isoantibodies/blood ; Male ; Pregnancy ; Retrospective Studies
Chemical Substances	Isoantibodies
Language	English
Publishing date	2013-03-05
Publishing country	Italy
Document type	Clinical Trial ; Journal Article
ZDB-ID	2135732-8
ISSN	2385-2070 ; 0041-1787 ; 1723-2007
ISSN (online)	2385-2070
ISSN	0041-1787 ; 1723-2007
DOI	10.2450/2013.0193-12
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Zs.A 798: Show issues

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Article ; Online: Thrombocytopenia after bacille Calmette-Guerin immunization--possibly on an immune basis.

Jakovljević, Gordana / Culić, Srdana

Pediatric hematology and oncology

2007 Volume 24, Issue 7, Page(s) 559–562

MeSH term(s)	Antigens, Bacterial/immunology ; Autoantibodies/blood ; Autoantibodies/immunology ; BCG Vaccine/adverse effects ; BCG Vaccine/immunology ; Blood Transfusion ; Combined Modality Therapy ; Cross Reactions ; Factor VII/therapeutic use ; Humans ; Immunoglobulins, Intravenous/therapeutic use ; Infant, Newborn ; Male ; Methylprednisolone/therapeutic use ; Purpura, Thrombocytopenic, Idiopathic/drug therapy ; Purpura, Thrombocytopenic, Idiopathic/etiology ; Purpura, Thrombocytopenic, Idiopathic/immunology
Chemical Substances	Antigens, Bacterial ; Autoantibodies ; BCG Vaccine ; Immunoglobulins, Intravenous ; Factor VII (9001-25-6) ; Methylprednisolone (X4W7ZR7023)
Language	English
Publishing date	2007-10
Publishing country	England
Document type	Case Reports ; Letter
ZDB-ID	632914-7
ISSN	1521-0669 ; 0888-0018
ISSN (online)	1521-0669
ISSN	0888-0018
DOI	10.1080/08880010701533652
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Zs.A 1956: Show issues

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Article ; Online: Immune thrombocytopenia: serum cytokine levels in children and adults.

Culić, Srđana / Salamunić, Ilza / Konjevoda, Paško / Dajak, Slavica / Pavelić, Jasminka

Medical science monitor : international medical journal of experimental and clinical research

2013 Volume 19, Page(s) 797–801

Abstract: Background: Immune thrombocytopenia (ITP) is an immune-mediated platelet disorder in which autoantibody-coated platelets are removed from the blood by monocytic phagocytes and there is impaired platelet production. There is a delicate balance of ... ...

Abstract	Background: Immune thrombocytopenia (ITP) is an immune-mediated platelet disorder in which autoantibody-coated platelets are removed from the blood by monocytic phagocytes and there is impaired platelet production. There is a delicate balance of specific cytokine levels, which has an important role in the immune system and is known to be deregulated in autoimmune diseases. This study was designed to investigate the differences in Th cytokine levels between children and adults with newly diagnosed ITP and to compare these profiles to those found in healthy, age-matched controls. Material/methods: The concentration of IL-1alpha, IL-2, IL-3, IL-4, IL-6, IL-10, TNF-alpha, IFN-alpha, and IFN-alpha in serum specimens was analyzed by enzyme-linked immunosorbent assay. Results: At the time of ITP diagnosis, children showed significantly lower serum levels of interleukin IL-2 and tumor necrosis factor TNF-alpha and higher serum level of IL-3 than healthy controls. Serum level of IL-4 in adult ITP patients was higher than those in control subjects. When compared with adults, children with ITP had lower serum level of IL-4, IL-6 and IFN-alpha, and higher level of IFN-alpha. Conclusions: Significant differences in serum cytokine levels between pediatric patients and healthy controls indicate that cytokine disturbances--especially changes in IL-2, IL-3 and TNF-alpha--might be involved in the pathogenesis of newly diagnosed ITP. TNF-alpha is the most informative variable for discrimination between healthy children and those with ITP.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Croatia ; Cytokines/blood ; Enzyme-Linked Immunosorbent Assay ; Humans ; Infant ; Interferons/blood ; Interleukins/blood ; Middle Aged ; Multivariate Analysis ; Platelet Count ; Purpura, Thrombocytopenic, Idiopathic/blood ; Tumor Necrosis Factor-alpha/blood
Chemical Substances	Cytokines ; Interleukins ; Tumor Necrosis Factor-alpha ; Interferons (9008-11-1)
Language	English
Publishing date	2013-09-27
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1439041-3
ISSN	1643-3750 ; 1234-1010
ISSN (online)	1643-3750
ISSN	1234-1010
DOI	10.12659/MSM.884017
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Zs.A 4924: Show issues

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Article: Relationship between tumor vascularity and vascular endothelial growth factor as prognostic factors for patients with neuroblastoma.

Jakovljević, Gordana / Culić, Srdana / Stepan, Jasminka / Kosuta, Iva / Seiwerth, Sven

Collegium antropologicum

2011 Volume 35, Issue 4, Page(s) 1071–1079

Abstract: Although the role of angiogenesis in tumor progression and response to treatment is generally well-characterized, for neuroblastomas clinical data regarding the contribution of angiogenesis and its predictive capacity remain unclear. The aim of this ... ...

Abstract	Although the role of angiogenesis in tumor progression and response to treatment is generally well-characterized, for neuroblastomas clinical data regarding the contribution of angiogenesis and its predictive capacity remain unclear. The aim of this study was to evaluate whether tumor vascularity in the combination with expression of vascular endothelial growth factor (VEGF) represent prognostic factors for patients with neuroblastoma. Immunohistochemistry using anti-CD34 and anti-VEGF antibodies was used to analyze paraffin-embedded primary tumor tissues from 56 patients diagnosed with neuroblastoma. Tumor vascularity was estimated by calculating the tumor vascular volume fraction (TVVF), and VEGF expression was determined using semi-quantitative scoring. Statistical analyses including multivariate analysis were performed and compared with these two factors. Tumor vascularity had impact on survival of high VEGF expression neuroblastoma patients. Combination of high VEGF expression and TVVF value < or = 5% was independent predictor of overall survival (p-value = 0.0041, odds ratio (OR) (95% CI) = 8.67 (1.99-37.69) by the Cox proportional hazards model). This study revealed for the first time a group of extremely high-risk neuroblastoma with both high VEGF expression and poor vascularity. For these patients reduced rates of survival were observed (37% vs. 92.5%) (p < 0.0001). These patients did not experience a significant improvement following hematopoietic stem cell transplantation, and could be candidates for receiving novel therapies. These results indicate the importance of the mutual relationship between tumor vascularity and VEGF, because it gives better insight into the prognosis of patients with neuroblastoma.
MeSH term(s)	Antigens, CD34/analysis ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Neovascularization, Pathologic ; Neuroblastoma/blood supply ; Neuroblastoma/mortality ; Prognosis ; Survival Rate ; Vascular Endothelial Growth Factor A/analysis
Chemical Substances	Antigens, CD34 ; Vascular Endothelial Growth Factor A
Language	English
Publishing date	2011-12
Publishing country	Croatia
Document type	Journal Article
ZDB-ID	233430-6
ISSN	0350-6134 ; 0353-3735
ISSN	0350-6134 ; 0353-3735
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Zs.A 5757: Show issues

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Article ; Online: Vascular endothelial growth factor in children with neuroblastoma

Bonevski Aleksandra / Stepan Jasminka / Čulić Srđana / Jakovljević Gordana / Seiwerth Sven

Journal of Experimental & Clinical Cancer Research, Vol 28, Iss 1, p

a retrospective analysis

2009 Volume 143

Abstract: Abstract Background Despite aggressive therapy, advanced stage neuroblastoma patients have poor survival rates. Although angiogenesis correlates with advanced tumour stage and plays an important role in determining the tumour response to treatment in ... ...

Abstract	Abstract Background Despite aggressive therapy, advanced stage neuroblastoma patients have poor survival rates. Although angiogenesis correlates with advanced tumour stage and plays an important role in determining the tumour response to treatment in general, clinical data are still insufficient, and more clinical evaluations are needed to draw conclusions. The aim of this study was to evaluate vascular endothelial growth factor (VEGF) expression in patients with neuroblastoma, determine whether it correlates with other prognostic factors and/or therapeutic response, and to assess should VEGF be considered in a routine diagnostic workup. Materials and methods VEGF expression was determined by immunohistochemistry using anti-VEGF antibody in paraffin embedded primary tumour tissue from 56 neuroblastoma patients. Semiquantitative expression of VEGF was estimated and compared with gender, age, histology, disease stage, therapy, and survival. Statistical analyses, including multivariate analysis, were performed. Results VEGF expression correlated with disease stage and survival in neuroblastoma patients. Combination of VEGF expression and disease stage as a single prognostic value for survival (P-value = 0.0034; odds ratio (OR) (95%CI) = 26.17 (2.97-230.27) exhibited greater correlation with survival than individually. Hematopoietic stem cell transplantation significantly improved survival of the advanced stage patients with high VEGF expression. Conclusion VEGF expression should be considered in a routine diagnostic workup of children with neuroblastoma, especially in those more than 18 months old and with advanced disease stage. High VEGF expression at the time of disease diagnosis is a bad risk prognostic factor, and can be used to characterize subsets of patients with an unfavourable outcome.
Keywords	Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Oncology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Subject code	616 ; 610
Language	English
Publishing date	2009-11-01T00:00:00Z
Publisher	BioMed Central
Document type	Article ; Online
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Article: Successful management of bleeding with recombinant factor VIIa (NovoSeven) in a patient with Burkitt lymphoma and thrombosis of the left femoral and left common iliac veins.

Culić, Srdana / Kuljis, Dubravka / Armanda, Visnja / Jankovic, Stipan

Pediatric blood & cancer

2007 Volume 49, Issue 3, Page(s) 332–335

Abstract: We present the case of an 18-year-old female with Burkitt lymphoma involving the intra-abdominal and inguinal lymph nodes. The tumor had invaded the left femoral and common iliac veins causing secondary thrombosis and vessel occlusion. Chemotherapy and ... ...

Abstract	We present the case of an 18-year-old female with Burkitt lymphoma involving the intra-abdominal and inguinal lymph nodes. The tumor had invaded the left femoral and common iliac veins causing secondary thrombosis and vessel occlusion. Chemotherapy and anticoagulant treatment resulted in mild thrombocytopenia and a prolonged prothrombin time, respectively, which exacerbated postoperative bleeding following surgical removal of a deep inguinal necrosis. After 6 days, bleeding combined with epistaxis was considered to be life threatening and anticoagulant reversal with recombinant factor VIIa was successfully performed. The patient has since achieved complete remission and subsequent antithrombotic therapy has resolved the vascular occlusion.
MeSH term(s)	Adolescent ; Anticoagulants/adverse effects ; Antineoplastic Agents/adverse effects ; Burkitt Lymphoma/complications ; Burkitt Lymphoma/drug therapy ; Factor VIIa/therapeutic use ; Female ; Femoral Vein ; Heparin, Low-Molecular-Weight/adverse effects ; Humans ; Iliac Vein ; Postoperative Hemorrhage/drug therapy ; Postoperative Hemorrhage/etiology ; Recombinant Proteins/therapeutic use ; Thrombocytopenia/chemically induced ; Thrombocytopenia/complications ; Venous Thrombosis/drug therapy ; Venous Thrombosis/etiology ; Venous Thrombosis/surgery
Chemical Substances	Anticoagulants ; Antineoplastic Agents ; Heparin, Low-Molecular-Weight ; Recombinant Proteins ; Factor VIIa (EC 3.4.21.21)
Language	English
Publishing date	2007-09
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2131448-2
ISSN	1545-5017 ; 1545-5009
ISSN (online)	1545-5017
ISSN	1545-5009
DOI	10.1002/pbc.20808
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Zs.A 1131: Show issues

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Article ; Online: Rare localization of extrarenal nephroblastoma in 1-month-old female infant.

Armanda, Višnja / Culić, Srđana / Pogorelić, Zenon / Kuljiš, Dubravka / Budimir, Dražen / Kuzmić-Prusac, Ivana

Journal of pediatric urology

2012 Volume 8, Issue 4, Page(s) e43–5

Abstract: Extrarenal occurrence of Wilms' tumor is exceptional and the diagnosis is almost always made after surgery. The exact mechanism whereby a Wilms' tumor occurs in extrarenal tissue is unknown. The tumor is most commonly located in the retroperitoneum or ... ...

Abstract	Extrarenal occurrence of Wilms' tumor is exceptional and the diagnosis is almost always made after surgery. The exact mechanism whereby a Wilms' tumor occurs in extrarenal tissue is unknown. The tumor is most commonly located in the retroperitoneum or inguinal region. Localization in subcutaneous tissue is extremely rare. In this paper, the case of a 1-month-old female infant with an extrarenal Wilms' tumor located in the lumbosacral region is presented. Surgical excision is the treatment of choice, and the same general therapeutic rules should be followed as when the kidney is affected.
MeSH term(s)	Biopsy, Needle ; Female ; Follow-Up Studies ; Humans ; Immunohistochemistry ; Infant, Newborn ; Lumbosacral Region/diagnostic imaging ; Multidetector Computed Tomography/methods ; Rare Diseases ; Retroperitoneal Neoplasms/diagnostic imaging ; Retroperitoneal Neoplasms/pathology ; Retroperitoneal Neoplasms/surgery ; Risk Assessment ; Treatment Outcome ; Wilms Tumor/diagnostic imaging ; Wilms Tumor/pathology ; Wilms Tumor/surgery
Language	English
Publishing date	2012-08
Publishing country	England
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2237683-5
ISSN	1873-4898 ; 1477-5131
ISSN (online)	1873-4898
ISSN	1477-5131
DOI	10.1016/j.jpurol.2012.03.005
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