Apheresis therapy for prolonged red cell aplasia after major ABO-mismatched bone marrow transplantation

被引:21
作者
Ohta, S
Yokoyama, H
Ise, T
Takasawa, K
Wada, T
Nakao, S
Matsuda, T
Kobayashi, K
机构
[1] Division of Blood Purification, Kanazawa University, Kanazawa
[2] First Dept. of Internal Medicine, Kanazawa University, Kanazawa
[3] Third Dept. of Internal Medicine, Kanazawa University, Kanazawa
[4] Division of Blood Purification, 1st Department of Internal Medicine, Kanazawa University, Ishikawa 920
关键词
delayed red blood cell (RBC) recovery; double filtration plasma pheresis (DFPP); immunoadsorption;
D O I
10.2169/internalmedicine.36.487
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Two cases of leukemia were treated successfully with apheresis for delayed recovery of erythropoiesis due to antibody-mediated red cell aplasia after ABO-mismatched bone marrow transplantation (BMT). A 25-year-old female (ABO group O) underwent BMT from her brother (group A), Immunoadsorption using Biosynsorb A performed on day 146 after BMT followed by double filtration plasma pheresis (DFPP) reduced anti-A antibody titers from 1:32 to 1:2. Anemia improved dramatically within 2 weeks. A 49-year-old female (group O) underwent BMT from her mother (group A), She was treated with DFPP on day 131 after BMT, Anti-A antibody titers dropped from 1:16 to 1:1 and anemia improved gradually.
引用
收藏
页码:487 / 491
页数:5
相关论文
共 11 条
[1]   EFFECT OF HLA COMPATIBILITY ON ENGRAFTMENT OF BONE-MARROW TRANSPLANTS IN PATIENTS WITH LEUKEMIA OR LYMPHOMA [J].
ANASETTI, C ;
AMOS, D ;
BEATTY, PG ;
APPELBAUM, FR ;
BENSINGER, W ;
BUCKNER, CD ;
CLIFT, R ;
DONEY, K ;
MARTIN, PJ ;
MICKELSON, E ;
NISPEROS, B ;
OQUIGLEY, J ;
RAMBERG, R ;
SANDERS, JE ;
STEWART, P ;
STORB, R ;
SULLIVAN, KM ;
WITHERSPOON, RP ;
THOMAS, ED ;
HANSEN, JA .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (04) :197-204
[2]   IMMUNOADSORPTION FOR REMOVAL OF A-BLOOD-GROUP AND B-BLOOD-GROUP ANTIBODIES [J].
BENSINGER, WI ;
BAKER, DA ;
BUCKNER, CD ;
CLIFT, RA ;
THOMAS, ED .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 304 (03) :160-162
[3]   ABO-INCOMPATIBLE MARROW TRANSPLANTS [J].
BENSINGER, WI ;
BUCKNER, CD ;
THOMAS, ED ;
CLIFT, RA .
TRANSPLANTATION, 1982, 33 (04) :427-429
[4]  
BENSINGER WI, 1981, ART ORG, V5, P255
[5]  
Fukuda M, 1991, Rinsho Ketsueki, V32, P24
[6]  
GALE RP, 1977, BLOOD, V50, P185
[7]  
KARHI KK, 1981, BLOOD, V57, P147
[8]  
OR R, 1991, TRANSPL INT, V4, P99
[9]  
REVIRON J, 1987, TRANSPL P, V19, P4618
[10]   IMMUNOHEMATOLOGIC CONSEQUENCES OF MAJOR ABO-MISMATCHED BONE-MARROW TRANSPLANTATION [J].
SNIECINSKI, IJ ;
OIEN, L ;
PETZ, LD ;
BLUME, KG .
TRANSPLANTATION, 1988, 45 (03) :530-534