Autoreactive antibodies following autologous peripheral blood stem cell transplantation

被引:28
作者
Ishikawa, F [1 ]
Shigematsu, H [1 ]
Gondo, H [1 ]
Okamura, T [1 ]
Niho, Y [1 ]
机构
[1] Kyushu Univ, Fac Med, Dept Internal Med 1, Higashi Ku, Fukuoka 8128582, Japan
关键词
autoimmune; autologous; peripheral blood stem cells; transplantation; multiple myeloma;
D O I
10.1038/sj.bmt.1701409
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
A 35-year-old woman diagnosed with multiple myeloma (IgG, lambda type, stage IIIA) received an autologous peripheral blood stem cell, transplant (PBSCT). She was euthyroid without autoreactive antibodies prior to the transplant. The patient complained of malaise, weight loss and low grade fever 1 month after transplant, despite rapid haematopoietic recovery. Thyroid function tests on day 34 revealed hyperthyroidism associated with anti-thyroid peroxidase antibody. Antinuclear antibody was also detected, and platelet-associated immunoglobulin was increased. These findings disappeared spontaneously by day 62 without treatment. Autoimmune diseases may occur transiently after autologous PBSCT.
引用
收藏
页码:729 / 731
页数:3
相关论文
共 11 条
[1]  
Barlogie B, 1997, SEMIN HEMATOL, V34, P67
[2]   Autologous GVHD following PBSCT, with evidence for a graft-versus-myeloma effect [J].
Byrne, JL ;
Carter, GI ;
Ellis, I ;
Haynes, AP ;
Russell, NH .
BONE MARROW TRANSPLANTATION, 1997, 20 (06) :517-520
[3]   Multiple autoimmune events after autologous bone marrow transplantation [J].
Deliliers, GL ;
Annaloro, C ;
DellaVolpe, A ;
Oriani, A ;
Pozzoli, E ;
Soligo, D .
BONE MARROW TRANSPLANTATION, 1997, 19 (07) :745-747
[4]   THYROID-DISEASES AFTER TREATMENT OF HODGKINS-DISEASE [J].
HANCOCK, SL ;
COX, RS ;
MCDOUGALL, IR .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (09) :599-605
[5]  
HESS AD, 1997, GRAFT VS HOST DIS, P561
[6]  
JONES RJ, 1991, BLOOD, V78, P287
[7]  
KATASANIS E, 1990, BONE MARROW TRANSPL, V5, P335
[8]  
Marmont AM, 1997, J RHEUMATOL, V24, P13
[9]  
SIVAKUMARAN M, 1995, BONE MARROW TRANSPL, V15, P531
[10]   Autologous blood stem cell transplantation for autoimmune diseases [J].
Snowden, JA ;
Biggs, JC ;
Brooks, PM .
LANCET, 1996, 348 (9035) :1112-1113