Source:http://linkedlifedata.com/resource/pubmed/id/15136241
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2004-5-11
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pubmed:abstractText |
Pancytopenia occurring after bone marrow transplantation is a rare complication. A 47 year old patient with progression of multiple myeloma after standard therapy received an allogeneic marrow graft from a matched unrelated donor. The non-myeloablative conditioning regimen consisted of fludarabine, cyclophosphamide, rabbit anti-thymocyte globulin and total body irradiation. GVHD prophylaxis consisted of cyclosporine. Neutrophil engraftment was as expected and the patient was discharged without signs of acute GvHD. On day +34 the patient presented with clinical and laboratory findings consistent with severe pancytopenia. Antibodies against red cells, platelets, lymphocytes and granulocytes were detected in extremely high titers. Immune-mediated pancytopenia was refractory on multiple immunosuppressive treatment strategies. Proliferation of polyclonal plasma cells of recipient-type that was documented postmortem, was most likely responsible for excessive antibody formation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1592-8721
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
89
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
ECR12
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pubmed:meshHeading |
pubmed-meshheading:15136241-Anemia, Hemolytic, Autoimmune,
pubmed-meshheading:15136241-Animals,
pubmed-meshheading:15136241-Autoantibodies,
pubmed-meshheading:15136241-Blood Cells,
pubmed-meshheading:15136241-Bone Marrow Transplantation,
pubmed-meshheading:15136241-Fatal Outcome,
pubmed-meshheading:15136241-HLA Antigens,
pubmed-meshheading:15136241-Histocompatibility,
pubmed-meshheading:15136241-Humans,
pubmed-meshheading:15136241-Male,
pubmed-meshheading:15136241-Middle Aged,
pubmed-meshheading:15136241-Multiple Myeloma,
pubmed-meshheading:15136241-Pancytopenia,
pubmed-meshheading:15136241-Rabbits,
pubmed-meshheading:15136241-Respiratory Distress Syndrome, Adult,
pubmed-meshheading:15136241-Transplantation, Homologous,
pubmed-meshheading:15136241-Transplantation Conditioning
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pubmed:year |
2004
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pubmed:articleTitle |
Fatal immune-mediated pancytopenia and a TRALI-like syndrome associated with high titers of recipient-type antibodies against donor-derived peripheral blood cells after allogeneic bone marrow transplantation following dose reduced conditioning.
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pubmed:affiliation |
Tuebingen University Hospital, Dept. of Hematology/Oncology, Otfried-Mueller-Str. 10, 72076 Tuebingen, Germany. stefan.knop@med.uni-tuebingen.de
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pubmed:publicationType |
Journal Article,
Case Reports
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