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pubmed-article:19890787pubmed:dateCreated2009-11-5lld:pubmed
pubmed-article:19890787pubmed:abstractTextHematopoietic stem cell transplantation (HSCT) from a matched unrelated donor (MUD) has become the accepted salvage treatment for patients with severe aplastic anemia (SAA) lacking a matched sibling donor and failing immunosuppressive treatment. However, non-engraftment and early rejection remain main reasons for treatment related morbidity and mortality. We report on three adolescents who were grafted from MUD, rejected their graft and were re-grafted 47-51 days after first HSCT from the same donor. For conditioning, fludarabine, cyclophosphamide, ATG and/or OKT3 in combination with total lymphoid irradiation was used. Unmanipulated peripheral blood stem cells at a minimum dose of 8 x 10(6)/kg CD34+cells were infused. Acute toxicity was low. Two patients are alive and well for more than 3 years, one patient developed extended chronic graft-versus-host disease from which he died 34 months after second HSCT. Re-transplantation from MUD in the case of non-engraftment or rejection from the same donor is possible following immunoablation combined with intensive serotherapy in young patients with SAA.lld:pubmed
pubmed-article:19890787pubmed:languageenglld:pubmed
pubmed-article:19890787pubmed:journalhttp://linkedlifedata.com/r...lld:pubmed
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pubmed-article:19890787pubmed:statusMEDLINElld:pubmed
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pubmed-article:19890787pubmed:authorpubmed-author:KleinBBlld:pubmed
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pubmed-article:19890787pubmed:authorpubmed-author:SchrauderAAlld:pubmed
pubmed-article:19890787pubmed:copyrightInfoGeorg Thieme Verlag KG Stuttgart.New York.lld:pubmed
pubmed-article:19890787pubmed:issnTypeElectroniclld:pubmed
pubmed-article:19890787pubmed:volume221lld:pubmed
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pubmed-article:19890787pubmed:pagination358-61lld:pubmed
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pubmed-article:19890787pubmed:articleTitleRe-transplantation from the same unrelated donor in three adolescents with severe aplastic anemia after graft rejection.lld:pubmed
pubmed-article:19890787pubmed:affiliationLudwig-Maximilian-University, Dr. von Haunersches Kinderspital, Department of Pediatric Oncology and Hematology, Munich, Germany. monika.fuehrer@med.uni-muenchen.delld:pubmed
pubmed-article:19890787pubmed:publicationTypeJournal Articlelld:pubmed