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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1995-12-8
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pubmed:abstractText |
Prospective pulmonary function tests (PFTs) of 49 long-term survivors of identical sibling bone marrow transplants (BMT) were analysed. Eight (16%) developed a persistent pulmonary syndrome characterised by a late onset, cough and dyspnoea, hyperinflation or patchy infiltrates on plain radiography and episodic bacterial infections. The predominant PFT pattern was obstructive (reduced forced expiratory ratio, FER) with a variable restrictive component (reduced vital capacity, VC). When compared with the other 41 patients (controls), mean FER (53% absolute) and VC (73% predicted) were significantly lower at 12 months (P = 0.005). Graft-versus-host disease (GVHD) was the only identifiable risk factor (odds ration 7.1). Five of 7 patients compared with 4 of 31 controls tested at 3 months had an abnormal FER or maximum mid-expiratory flow rate (MMFR), but not VC, prior to the onset of symptoms (P = 0.015). Patients with mild to moderate disease (FER 50-70%) had stable pulmonary function while severe cases progressed despite immunosuppressive agents. Earlier recognition of this syndrome by a reduced FER or MMFR may allow the initiation of therapy at a potentially reversible stage.
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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 |
Jul
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
169-73
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7581118-Adult,
pubmed-meshheading:7581118-Bone Marrow Transplantation,
pubmed-meshheading:7581118-Female,
pubmed-meshheading:7581118-Graft Survival,
pubmed-meshheading:7581118-Graft vs Host Disease,
pubmed-meshheading:7581118-Humans,
pubmed-meshheading:7581118-Immunoglobulins,
pubmed-meshheading:7581118-Lung Diseases, Obstructive,
pubmed-meshheading:7581118-Male,
pubmed-meshheading:7581118-Prognosis,
pubmed-meshheading:7581118-Retrospective Studies,
pubmed-meshheading:7581118-Risk Factors,
pubmed-meshheading:7581118-Survival Analysis
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pubmed:year |
1995
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pubmed:articleTitle |
Chronic airflow obstruction in long-term survivors of allogeneic bone marrow transplantation.
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pubmed:affiliation |
Clinical Haematology and Bone Marrow Transplantation Unit, Alfred Hospital, Melbourne, Australia.
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pubmed:publicationType |
Journal Article
|