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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2004-3-22
pubmed:abstractText
We evaluated the incidence, the risk factors, and the outcome of late-onset noninfectious pulmonary complications (LONIPCs) among 50 patients who underwent allogeneic stem cell transplantation from unrelated donors. Of the 39 patients surviving at least 3 months, 10 (26%) fulfilled the diagnostic criteria of LONIPCs and were further subclassified as having bronchiolitis obliterans (four patients), bronchiolitis obliterans with organizing pneumonia (four patients), and interstitial pneumonia (two patients). Two patients had a durable partial remission after treatment with prednisone and cyclosporine; the remaining eight patients did not respond to treatment and five of them died of respiratory failure. Advanced stage of disease at transplant and chronic extensive graft-versus-host disease (GVHD) were significantly associated with the development of LONIPCs. Pulmonary function test (PFT) results before transplantation were similar in all patients, but patients with LONIPCs had a significant decrease in PFT indexes at the third month after BMT compared with controls. Moreover, the rate of cyclosporine taper during the fourth and fifth months after BMT was significantly more rapid in patients with LONIPCs than in controls, suggesting that the risk of LONIPCs may be influenced by a faster reduction of GVHD prophylaxis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
751-8
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:14755316-Adolescent, pubmed-meshheading:14755316-Adult, pubmed-meshheading:14755316-Bronchiolitis Obliterans, pubmed-meshheading:14755316-Case-Control Studies, pubmed-meshheading:14755316-Cryptogenic Organizing Pneumonia, pubmed-meshheading:14755316-Cyclosporine, pubmed-meshheading:14755316-Female, pubmed-meshheading:14755316-Graft vs Host Disease, pubmed-meshheading:14755316-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:14755316-Humans, pubmed-meshheading:14755316-Incidence, pubmed-meshheading:14755316-Lung Diseases, Interstitial, pubmed-meshheading:14755316-Male, pubmed-meshheading:14755316-Middle Aged, pubmed-meshheading:14755316-Prednisone, pubmed-meshheading:14755316-Respiratory Function Tests, pubmed-meshheading:14755316-Retrospective Studies, pubmed-meshheading:14755316-Risk Factors, pubmed-meshheading:14755316-Tissue Donors, pubmed-meshheading:14755316-Transplantation, Homologous, pubmed-meshheading:14755316-Treatment Outcome
pubmed:year
2004
pubmed:articleTitle
Incidence, outcome, and risk factors of late-onset noninfectious pulmonary complications after unrelated donor stem cell transplantation.
pubmed:affiliation
Division of Haematology, Bone Marrow Transplantation Unit, Department of Clinical and Morphological Research, University Hospital, Udine, Italy. patriarca@med.uniud.it
pubmed:publicationType
Journal Article