Three Times Spontaneous Remission of Severe Aplastic Anemia Following Granulocyte Transfusion from Related Donors: a Case Report and Literature Review△
中国医学科学杂志(英文版)2013年第1期 页码:58-60
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Three Times Spontaneous Remission of Severe Aplastic Anemia Following Granulocyte Transfusion from Related Donors: a Case Report and Literature Review△
Affiliations:
1. Jiangsu Institute of Hematology, Key Laboratory of Thrombosis and Hemostasis of Ministry of Health, The First Affiliated Hospital of Soochow University,Suzhou,China,215006
2. ,China
3. The Affiliated Suzhou Hospital of Nanjing Medical University (Suzhou Municipal Hospital),Suzhou,China,215002
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网络出版日期:2013-03-26,
纸质出版日期:2013
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Bao-zhi Fang, Guang-sheng He, Hai-xia Zhou, 等. Three Times Spontaneous Remission of Severe Aplastic Anemia Following Granulocyte Transfusion from Related Donors: a Case Report and Literature Review△[J]. 中国医学科学杂志(英文版), 2013,(1):58-60.
Bao-zhi Fang, Guang-sheng He, Hai-xia Zhou, et al. Three Times Spontaneous Remission of Severe Aplastic Anemia Following Granulocyte Transfusion from Related Donors: a Case Report and Literature Review△[J]. Null, 2013, (1): 58-60.
Bao-zhi Fang, Guang-sheng He, Hai-xia Zhou, 等. Three Times Spontaneous Remission of Severe Aplastic Anemia Following Granulocyte Transfusion from Related Donors: a Case Report and Literature Review△[J]. 中国医学科学杂志(英文版), 2013,(1):58-60.DOI:
Bao-zhi Fang, Guang-sheng He, Hai-xia Zhou, et al. Three Times Spontaneous Remission of Severe Aplastic Anemia Following Granulocyte Transfusion from Related Donors: a Case Report and Literature Review△[J]. Null, 2013, (1): 58-60.DOI:
Three Times Spontaneous Remission of Severe Aplastic Anemia Following Granulocyte Transfusion from Related Donors: a Case Report and Literature Review△
APLASTIC anemia (AA) is a bone marrow failure disease caused by abnormal activation of T lymphocytes
resulting in the apoptosis of hematopoietic cells and bone marrow failure.
1
Currently
hematopoietic stem cell transplantation (HSCT)
immunosuppressive - therapy (IST)
and supportive care (e.g. transfusion adjuvant therapy
hematopoietic growth factors
and prevention of infection) are the main treatments of AA. Granulocyte transfusion has recently been accepted as an useful adjuvant therapy of HSCT and intensive IST.
2
This article reported a severe AA patient who failed to respond to IST
but achieved spontaneous remission three times after granulocyte transfusions from related donors. Such cases have rarely been reported. Existence of human leukocyte antigen (HLA) cross between the patient and his relatives may influence the T cell-mediated immunity
which might explain this patient’s recovery.
Abstract
APLASTIC anemia (AA) is a bone marrow failure disease caused by abnormal activation of T lymphocytes
resulting in the apoptosis of hematopoietic cells and bone marrow failure.
1
Currently
hematopoietic stem cell transplantation (HSCT)
immunosuppressive - therapy (IST)
and supportive care (e.g. transfusion adjuvant therapy
hematopoietic growth factors
and prevention of infection) are the main treatments of AA. Granulocyte transfusion has recently been accepted as an useful adjuvant therapy of HSCT and intensive IST.
2
This article reported a severe AA patient who failed to respond to IST
but achieved spontaneous remission three times after granulocyte transfusions from related donors. Such cases have rarely been reported. Existence of human leukocyte antigen (HLA) cross between the patient and his relatives may influence the T cell-mediated immunity