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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1985-9-30
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pubmed:abstractText |
A woman affected by acute myeloblastic leukemia was grafted with HLA A, B and D compatible rhesus-positive bone marrow from her brother. Before grafting, she had anti-D alloantibodies (1/512 IAT, 2.9 micrograms/ml). To prevent the destruction of donor red blood cells, four plasma exchanges and a conditioning regimen (total-body irradiation 800 rad, cyclophosphamide, methotrexate) were carried out to decrease anti-D from 2.9 to less than 0.02 micrograms/ml on day 0. The anti-D level was 0.8 micrograms/ml on day 12 and was decreased to 0.2 micrograms/ml by eight plasma exchanges until day 35. Anti-D antibodies were undetectable with Lalezari's technique on day 45. Engraftment was obtained on day 25 (3,000 leukocytes/mm3 and 50% erythroblasts in bone marrow). The patient died from aspergillosis and graft-versus-host disease on day 54. This observation shows that an engraftment of rhesus-positive bone marrow in a recipient with anti-D antibody is possible.
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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:issn |
0001-5792
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
73
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
153-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3929529-Adult,
pubmed-meshheading:3929529-Bone Marrow,
pubmed-meshheading:3929529-Bone Marrow Transplantation,
pubmed-meshheading:3929529-Coombs' Test,
pubmed-meshheading:3929529-Cyclophosphamide,
pubmed-meshheading:3929529-Female,
pubmed-meshheading:3929529-Humans,
pubmed-meshheading:3929529-Isoantibodies,
pubmed-meshheading:3929529-Leukemia, Myeloid, Acute,
pubmed-meshheading:3929529-Methotrexate,
pubmed-meshheading:3929529-Plasma Exchange,
pubmed-meshheading:3929529-Rh-Hr Blood-Group System,
pubmed-meshheading:3929529-Transplantation Immunology,
pubmed-meshheading:3929529-Whole-Body Irradiation
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pubmed:year |
1985
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pubmed:articleTitle |
Transplant of rhesus-positive bone marrow in a rhesus-negative woman having anti-rhesus D alloantibodies.
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
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