Successful reduced intensity allogeneic stem cell transplantation for systemic AL amyloidosis

被引:5
作者
Imamura, T [1 ]
Ogata, M
Kohno, K
Tomo, T
Ohtsuka, E
Kikuchi, H
Kadota, J
机构
[1] Oita Univ, Fac Med, Dept Infect Dis, Div Pathogenesis & Dis Control, Hasama, Oita 8795593, Japan
[2] Oita Univ, Fac Med, Ctr Blood Transfus, Oita 87011, Japan
关键词
systemic AL amyloidosis; reduced intensity allogeneic stem cell transplantation;
D O I
10.1002/ajh.20544
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
No established treatments for systemic AL amyloidosis have been determined, and only four reports have described allogeneic stem cell transplantation for this disease. We report the case of a patient with orthostatic hypotension, diarrhea, nephrotic syndrome, and cardiac amyloidosis due to systemic AL amyloidosis. Reduced intensity allogeneic stem cell transplantation (RIST) was performed using a conditioning regimen comprising fludarabine 125 mg/m(2) and melphalan go mg/m(2). Hematologically complete remission and symptomatic improvement were obtained without severe transplantation-related complications. RIST may thus offer a useful treatment strategy for systemic AL amyloidosis complicated by cardiac amyloidosis.
引用
收藏
页码:281 / 283
页数:3
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