Neuropediatrics
DOI: 10.1055/a-2491-2141
Short Communication

Onasemnogene Abeparvovec is Safe in Hemolytic Disease of the Newborn: A Case Report

1   Department of Pediatric Neurology, Neuroscience Center, King Fahd Specialist Hospital, Dammam, Saudi Arabia
,
Maher L. Edoussouki
2   Department of Hematology-Oncology and Stem Cell Transplantation, King Fahd Specialist Hospital, Dammam, Saudi Arabia
,
Shaikhah Aldossary
1   Department of Pediatric Neurology, Neuroscience Center, King Fahd Specialist Hospital, Dammam, Saudi Arabia
,
Tasneem Atawi
3   Department of Physiotherapy, King Fahd Specialist Hospital, Dammam, Saudi Arabia
› Author Affiliations

Abstract

Spinal muscular atrophy (SMA) is a rare autosomal recessive genetic disease caused by Survival Motor Protein 1 (SMN1) gene mutations. Classically divided into three types, SMA is characterized by hypotonia, weakness, and tongue fasciculation in the first 6 months of life in type 1, inability to walk and limb weakness in type 2, and failure to run with proximal weakness in type 3 SMA. With the advent of newborn screening, treating presymptomatic patients with Onasemnogene abeparvovec (OA) is the treatment of choice in some centers worldwide. The incidence of jaundice is high in this age group, with no recommendation to guide the use of OA in newborns with jaundice. To our knowledge, treating an SMA patient with alloimmune hemolytic disease of the newborn (HDN), a relatively common disease in the newborn period, has never been reported in the past. We report our experience with dosing a presymptomatic child with SMA who had neonatal jaundice and hemolytic anemia due to hemolytic disease of the newborn who tolerated the treatment well. To our knowledge, this is the first case to report the safety of this novel treatment for an SMA patient with alloimmune HDN.

Authors' Contributions

All the authors have read the paper and agreed on its content.




Publication History

Received: 30 August 2024

Accepted: 21 November 2024

Article published online:
17 December 2024

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