Successful unrelated bone marrow transplantation for Shwachman–Diamond syndrome

被引:0
作者
S Cesaro
G Guariso
E Calore
MV Gazzola
R Destro
S Varotto
L Zanesco
C Messina
机构
[1] Paediatric Oncology-Hematology Clinic,Department of Pediatrics
[2] University of Padova,undefined
[3] I Clinic of Pediatrics,undefined
[4] University of Padova,undefined
来源
Bone Marrow Transplantation | 2001年 / 27卷
关键词
Shwachman–Diamond syndrome; myelodysplasia; bone marrow transplantation; pancreatic insufficiency; marrow aplasia;
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摘要
A 5-year-old boy with Shwachman–Diamond syndrome underwent unrelated HLA-identical bone marrow transplantation for severe pancytopenia. Conditioning was with busulfan, thiotepa and cyclophosphamide plus rabbit anti-lymphocyte serum. Engraftment for neutrophils and platelets was observed on days +18 and +41, respectively. Transplant-related side-effects were mild and transient. After a follow-up of 32 months, the patient is alive and enjoys a normal life, off any immunosuppressives. Immunological and hematological reconstitution is complete while other phenotypic characteristics (pancreatic insufficiency, short stature, femur dysostosis) are stable. Although experience in this field is scarce, we speculate that bone marrow failure in Shwachman–Diamond syndrome (even if not linked to the appearance of clonal disorders or leukemic transformation) is an indication for bone marrow transplantation and may be associated with a better outcome. Bone Marrow Transplantation (2001) 27, 97–99.
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页码:97 / 99
页数:2
相关论文
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