Treatment of McLeod phenotype chronic granulomatous disease with reduced-intensity conditioning and unrelated-donor umbilical cord blood transplantation

被引:25
作者
Suzuki, Nobuhiro
Hatakeyama, Naoki
Yamamoto, Masaki
Mizue, Nobuo
Kuroiwa, Yuki
Yoda, Minami
Takahashi, Junko
Tani, Yoshihiko
Tsutsumi, Hiroyuki
机构
[1] Sapporo Med Univ, Sch Med, Dept Pediat, Chuo Ku, Sapporo, Hokkaido 0608543, Japan
[2] Hakodate City Gen Hosp, Dept Pediat, Hakodate, Hokkaido, Japan
[3] Japanese Red Cross Osaka Blood Ctr, Res Sect 1, Osaka, Japan
关键词
chronic granulomatous disease; McLeod phenotype; reduced-intensity conditioning; umbilical cord blood; transplantation; aspergillosis;
D O I
10.1532/IJH9706129
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with chronic granulomatous disease (CGD) complicated by antimycotics-refractory invasive aspergillosis have an extremely poor prognosis if they cannot undergo allogeneic hematopoietic stem cell transplantation from a suitable related donor while in good clinical condition. We successfully treated a 20-year-old man with very rare McLeod phenotype CGD with reduced-intensity conditioning and unrelated-donor umbilical cord blood transplantation. We postulate that reduced-intensity conditioning-allogeneic hematopoietic stem cell transplantation is a promising therapeutic strategy for patients with CGD even if only unrelated-donor umbilical cord blood is available.
引用
收藏
页码:70 / 72
页数:3
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