Artikel ; Online: Sequential renal and bone marrow transplants in a child with Fanconi anemia.
2016 Band 20, Heft 1, Seite(n) 146–150
Abstract: FA is an autosomal recessive disorder characterized by small stature and renal abnormalities. FA can lead to progressive bone marrow failure, myelodysplastic syndrome, or acute leukemia. Using a multidisciplinary team approach, we managed a 3-yr-old boy ... ...
| Abstract | FA is an autosomal recessive disorder characterized by small stature and renal abnormalities. FA can lead to progressive bone marrow failure, myelodysplastic syndrome, or acute leukemia. Using a multidisciplinary team approach, we managed a 3-yr-old boy with FA who simultaneously developed renal and hematopoietic failure. Because renal function was insufficient to support the conditioning regimen for HCT, we performed a deceased donor renal transplant in December 2012 prior to HCT with the known risk of graft-versus-graft rejection of the donor kidney. Seven months later he underwent allogeneic HCT. He obtained myeloid engraftment on day +11 and peripheral blood chimerism demonstrated all donor by day +21. He developed asymptomatic CMV reactivation and despite antirejection medications, mild skin graft-versus-host disease. He has maintained excellent renal function and remains transfusion independent with full hematopoietic recovery. He has not experienced any renal rejection episodes nor developed donor-specific antibodies toward his renal donor. Peripheral blood chimerism remains completely HCT donor. He is clinically well, now greater than two and a half yr after renal transplant and two yr after HCT. The continuing close collaboration between the Pediatric Nephrology and Bone Marrow Transplant teams is a major factor in this successful outcome. |
|||||
|---|---|---|---|---|---|---|
| Mesh-Begriff(e) | Bone Marrow Transplantation ; Child, Preschool ; Fanconi Anemia/complications ; Fanconi Anemia/surgery ; Graft Rejection ; Graft Survival/immunology ; Hematologic Diseases/complications ; Hematologic Diseases/surgery ; Hematopoietic Stem Cell Transplantation ; Humans ; Interdisciplinary Communication ; Kidney Transplantation ; Male ; Renal Insufficiency/complications ; Renal Insufficiency/surgery ; Transplantation Conditioning ; Transplantation, Homologous | |||||
| Sprache | Englisch | |||||
| Erscheinungsdatum | 2016-02 | |||||
| Erscheinungsland | Denmark | |||||
| Dokumenttyp | Case Reports ; Journal Article | |||||
| ZDB-ID | 1390284-2 | |||||
| ISSN | 1399-3046 ; 1397-3142 | |||||
| ISSN (online) | 1399-3046 | |||||
| ISSN | 1397-3142 | |||||
| DOI | 10.1111/petr.12619 | |||||
| Signatur |
|
|||||
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Volltext online
Zusatzmaterialien
Kategorien
Verfügbar in ZB MED Köln/Königswinter
| Zs.A 4947: Hefte anzeigen | Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.