Male predominance among Japanese adult patients with late-onset hemorrhagic cystitis after hematopoietic stem cell transplantation

被引:0
作者
Y Asano
Y Kanda
N Ogawa
M Sakata-Yanagimoto
M Nakagawa
M Kawazu
S Goyama
K Kandabashi
K Izutsu
Y Imai
A Hangaishi
M Kurokawa
S Tsujino
S Ogawa
K Aoki
S Chiba
T Motokura
H Hirai
机构
[1] University of Tokyo Hospital,Department of Cell Therapy & Transplantation Medicine
来源
Bone Marrow Transplantation | 2003年 / 32卷
关键词
hemorrhagic cystitis; adenovirus; hematopoietic stem cell transplantation;
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摘要
Late-onset hemorrhagic cystitis (LHC) after hematopoietic stem cell transplantation (HSCT) is mainly caused by viral infections. We retrospectively analyzed the records of 141 Japanese adult patients who underwent a first allogeneic HSCT from 1995 to 2002. In all, 19 patients developed LHC a median of 51 days after HSCT. Adenovirus (AdV) was detected in the urine of 10 LHC patients, of whom eight had AdV type 11. Five of the six available serum samples from these patients were also positive for AdV type 11, but the detection of AdV in serum was not associated with a worse outcome. Male sex and the development of grade II–IV acute graft-versus-host disease were identified as independent significant risk factors for LHC. Male predominance was detected in LHC after HSCT, as has been previously shown in children with AdV-induced acute HC. The detection of AdV DNA in serum did not predict a poor outcome.
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页码:1175 / 1179
页数:4
相关论文
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  • [1] Sencer SF(1993)Hemorrhagic cystitis after bone marrow transplantation. Risk factors and complications Transplantation 56 875-879
  • [2] Haake RJ(1989)Hemorrhagic cystitis associated with urinary excretion of adenovirus type 11 following allogeneic bone marrow transplantation Bone Marrow Transplant 4 533-535
  • [3] Weisdorf DJ(2001)Adenovirus is a key pathogen in hemorrhagic cystitis associated with bone marrow transplantation Clin Infect Dis 32 1325-1330
  • [4] Miyamura K(1994)Monitoring of polyomavirus BK viruria in bone marrow transplantation patients by DNA hybridization assay and by polymerase chain reaction: an approach to assess the relationship between BK viruria and hemorrhagic cystitis Bone Marrow Transplant 14 235-240
  • [5] Takeyama K(1999)Risk factors for severe hemorrhagic cystitis following BMT Bone Marrow Transplant 23 35-40
  • [6] Kojima S(2002)Clinicopathological features and risk factors of clinically overt haemorrhagic cystitis complicating bone marrow transplantation Bone Marrow Transplant 29 509-513
  • [7] Akiyama H(1988)A class of K-sample test for comparing the cumulative incidence of a competing risk Ann Stat 16 1141-1154
  • [8] Kurosu T(1998)Late-onset hemorrhagic cystitis after hematopoietic stem cell transplantation in children Bone Marrow Transplant 22 995-998
  • [9] Sakashita C(1976)A review of adenoviruses in the etiology of acute hemorrhagic cystitis J Urol 115 191-194
  • [10] Azzi A(2002)Adenovirus infections following allogeneic stem cell transplantation: incidence and outcome in relation to graft manipulation, immunosuppression, and immune recovery Blood 100 1619-1627