|
Plasma Exchange
|
Cytapheresis
|
Category I
Standard and acceptable under certain circumstances, Including primary therapy |
| Coagulation factor inhibitors |
Leukemia with hyperleukocytosis syndrome |
| Cryoglobulinemia |
Sickle cell syndromes (also see Category II) |
| Goodpasture's syndrome |
Thrombocytosis , symptomatic |
| Guillain-Barre syndrome |
 |
| Homozygous familial hypercholesterolemia |
| Hyperviscosity syndrome |
| Myasthenia gravis |
| Posttransfusion purpura |
| Refsum's disease |
| Thrombotic thrombocytopenic purpura (TTP) |
Category II
Sufficient evidence to suggest efficacy ; acceptable therapy on an adjunctive basis |
| Chronic inflammatory demyelinating polyneuropathy |
Cutaneous T-cell Lymphoma (cytoreduction or photopheresis) |
| Cold agglutinin disease |
|
| Drug overdose and poisoning (protein bound toxins) |
Hairy cell leukemia |
| Hemolytic uremic syndrome (HUS) |
Hyperparasitemia (e.g., malaria) |
| Pemphigus vularis |
Peripheral blood stem cell collections for hematopoietic reconstitution |
| Rapidly progressive glomerulonephritis |
|
| Systemic Vasculitis (1o or 2 o RA or SLE) |
Rheumatoid arthritis |
Category III
Inconclusive evidence for efficacy; uncertain benefit/risk ratio |
| ABO-incompatible organ or marrow transplantation |
Life threatening hemolytic transfusion reactions Multiple sclerosis |
| Maternal treatment of maternal-fetal incompatibility (HDN) |
Multiple sclerosis |
| Thyroid storm |
Organ transplant rejection (also photopheresis) |
| Multiple sclerosis |
Sickle cell disease (prophylactic use in pregnancy) |
| Progressive systemic sclerosis |
 |
| Pure red cell aplasia |
| Transfusion refractoriness due to alloantibodies (red cell , platelet , HLA ) |
| Warm autoimmune hemolytic anemia |
Category IV
Lack of efficancy in controlled trials |
| AIDS (for symptoms of immunodeficiency) |
Leukemia with out hyperleukocytosis syndromes |
| Amyotrophic lateral sclerosis |
Hypereosinophilia |
| Aplastic anemia |
Polymyositis/dermatomyositis |
| Fulminant hepatic failure |
 |
| ITP (chronic) |
| Lupus nephritis |
| Psoriasis |
| Renal transplant rejection |
| Rheumatoid arthritis |
| Schizophrenia |