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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1989-11-9
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pubmed:abstractText |
16 patients with transfusion-dependent, life-threatening bone marrow failure (14 with severe aplastic anaemia, 1 with systemic lupus erythematosus and 1 with pure red cell aplasia) were treated with cyclosporin-A (Cy-A) after either lack of response to conventional immunosuppression with antithymocyte-globulin/high-dose methylprednisolone for 95 to 1190 days (median 186.5) (group I, 8 patients) or as a primary treatment due to ineligibility for conventional immunosuppression (group II, 8 pat.). Cyclosporin-A was given orally to maintain trough levels of 200 to 300 ng/ml (RIA). In group I, 6 out of 8 patients responded 30 to 480 d (median 53) and are currently alive 627 to 1482 d (median 731) after initiation of Cy-A, respectively. In 3 of the responders Cy-A has been withdrawn, without relapse. In group II, 5 of 8 patients responded 26 to 170 d (median 63) and are currently alive 142 to 697 (median 420) d following initiation of Cy-A, respectively. These data indicate a place for cyclosporin-A in the management of patients with life-threatening bone marrow failure in whom a) immunosuppressive therapy with antithymocyte-globulin and high-dose methylprednisolone had failed and b) who are not candidates for vigorous immunosuppression or bone marrow transplantation, for medical or other reasons.
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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 |
Aug
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pubmed:issn |
0902-4441
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
43
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
136-42
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2507346-Administration, Oral,
pubmed-meshheading:2507346-Adolescent,
pubmed-meshheading:2507346-Adult,
pubmed-meshheading:2507346-Aged,
pubmed-meshheading:2507346-Anemia, Aplastic,
pubmed-meshheading:2507346-Bone Marrow Diseases,
pubmed-meshheading:2507346-Cyclosporins,
pubmed-meshheading:2507346-Female,
pubmed-meshheading:2507346-Humans,
pubmed-meshheading:2507346-Immunosuppression,
pubmed-meshheading:2507346-Immunosuppressive Agents,
pubmed-meshheading:2507346-Lupus Erythematosus, Systemic,
pubmed-meshheading:2507346-Male,
pubmed-meshheading:2507346-Middle Aged,
pubmed-meshheading:2507346-Red-Cell Aplasia, Pure
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pubmed:year |
1989
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pubmed:articleTitle |
Oral cyclosporin-A is effective treatment for untreated and also for previously immunosuppressed patients with severe bone marrow failure.
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pubmed:affiliation |
1st Dept. of Medicine, University of Vienna, Austria.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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