Fujii Yasuhiko
Affiliate Master
Yamaguchi University
A Case of Severe Aplastic Anemia Treated with Allogeneic Bone Marrow Transplantation
山口医学 Volume 33 Issue 6
Page 537-546
published_at 1984-12
Title
同種骨髄移植を施行した再生不良性貧血の一症例
A Case of Severe Aplastic Anemia Treated with Allogeneic Bone Marrow Transplantation
Creators
Yamada Katsunori
Creators
Shinohara Kenji
Creators
Satoh Yutaka
Creators
Yoshizaki Yoshiki
Creators
Inoue Masamitsu
Creators
Kaneko Toshio
Creators
Igarashi Mie
Creators
Fujita Kyoko
Creators
Kajii Tadashi
Creators
Matsumoto Noboru
Source Identifiers
A 14-year-old female with severe aplastic anemia received allogeneic bone marrow transplantation (BMT) from HLA-identical brother. She was pre-conditioned with intravenous cyclophosphamide (50mg/kg/day, for 4 days) and low dose total body irradiation (300 rad) followed by infusion of bone marrow cells (3.5×10^<10> nucleated cell and 5.3×10^6 CFU-C). The reconstitution of hematopoiesis appeared on day 17 and engraftment was certified by an analysis of sex chromosomes on day 21. This engraftment, however, was unsustained because of the late rejection charactarized by bicytopenia occurred on day 50. Severe acute graft versus host disease (GVHD) of grade IV appeared after BMT. Skin lesion developed on day 10 and extended to generalized erythroderma with epidermal necrosis. Liver and enteric lesions developed on day 34 as 11mg/dl of hyperbilirubinemia and 3000ml/day of diarrhea, respectively. High grade fever persisted during her hospital course and she died of intracranial hemorrhage on day 58. Autopsy findings revealed total denudation of epithelium of skin and intestine, extensive hepatocellular necrosis and small bile duct injury, and disseminated cytomegalovirus infection.
Languages
jpn
Resource Type
journal article
Publishers
山口大学医学会
Date Issued
1984-12
File Version
Not Applicable (or Unknown)
Access Rights
metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools
医学部