The role of extracorporeal photopheresis in the management of cutaneous T-cell lymphoma, graft-versus-host disease and organ transplant rejection: a consensus statement update from the UK Photopheresis Society

被引:102
作者
Alfred, Arun [1 ]
Taylor, Peter C. [1 ]
Dignan, Fiona [2 ]
El-Ghariani, Khaled [3 ,4 ]
Griffin, James [5 ]
Gennery, Andrew R. [6 ,7 ]
Bonney, Denise [8 ]
Das-Gupta, Emma [9 ]
Lawson, Sarah [10 ]
Malladi, Ram K. [11 ]
Douglas, Kenneth W. [12 ]
Maher, Tracey [1 ]
Guest, Julie [6 ,7 ]
Hartlett, Laura [10 ]
Fisher, Andrew J. [13 ,14 ]
Child, Fiona [15 ]
Scarisbrick, Julia J. [11 ]
机构
[1] Rotherham Fdn NHS Trust, Rotherham, S Yorkshire, England
[2] Cent Manchester NHS Fdn Trust, Manchester, Lancs, England
[3] NHS Blood & Transplant, Therapeut Serv, Sheffield, S Yorkshire, England
[4] NHS Blood & Transplant, Tissue Serv, Sheffield, S Yorkshire, England
[5] Univ Hosp Bristol NHS Fdn Trust, Bristol, Avon, England
[6] Newcastle Univ, Inst Cellular Med, Newcastle Upon Tyne, Tyne & Wear, England
[7] Great North Childrens Hosp, Newcastle Upon Tyne, Tyne & Wear, England
[8] Royal Manchester Childrens Hosp, Manchester, Lancs, England
[9] Nottingham Univ Hosp NHS Trust, Ctr Clin Haematol, Nottingham, England
[10] Birmingham Childrens Hosp, Birmingham, W Midlands, England
[11] Univ Hosp Birmingham NHS Trust, Birmingham, W Midlands, England
[12] Beatson West Scotland Canc Ctr, Clin Apheresis Unit, Glasgow, Lanark, Scotland
[13] Newcastle Univ, Inst Transplantat, Newcastle Upon Tyne, Tyne & Wear, England
[14] Freeman Rd Hosp, Newcastle Upon Tyne, Tyne & Wear, England
[15] Guys & St Thomas Hosp, St Johns Inst Dermatol, London, England
关键词
graft-versus-host disease; cutaneous T-cell lymphoma; rejection; extracorporeal photopheresis; treatment protocol; STEROID-REFRACTORY ACUTE; SINGLE-CENTER EXPERIENCE; TERM-FOLLOW-UP; MYCOSIS-FUNGOIDES; SEZARY-SYNDROME; CHRONIC GVHD; ALLOGRAFT-REJECTION; DEVELOPMENT PROJECT; CLINICAL-TRIALS; MARROW-TRANSPLANTATION;
D O I
10.1111/bjh.14537
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Extracorporeal photopheresis (ECP) has been used for over 35years in the treatment of erythrodermic cutaneous T-cell lymphoma (CTCL) and over 20years for chronic and acute graft-versus-host disease (GvHD) and solid organ transplant rejection. ECP for CTCL and GvHD is available at specialised centres across the UK. The lack of prospective randomised trials in ECP led to the development of UK Consensus Statements for patient selection, treatment schedules, monitoring protocols and patient assessment criteria for ECP. The recent literature has been reviewed and considered when writing this update. Most notably, the national transition from the UVAR XTS (R) machine to the new CELLEX machine for ECP with dual access and a shorter treatment time has led to relevant changes in these schedules. This consensus statement updates the previous statement from 2007 on the treatment of CTCL and GvHD with ECP using evidence based medicine and best medical practise and includes guidelines for both children and adults.
引用
收藏
页码:287 / 310
页数:24
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