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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8916
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pubmed:dateCreated |
1994-8-4
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pubmed:abstractText |
We are concerned about the inappropriate use of haemopoietic growth factors in patients with severe aplastic anaemia (SAA). The treatment of choice for this disorder is bone-marrow transplantation from an HLA-identical sibling donor if the patient is younger than 45 years, but it must be done soon after onset before the patient becomes sensitised by multiple red-cell and platelet transfusions. Other patients should receive immunosuppressive therapy with antithymocyte globulin alone or with cyclosporin or oxymetholone. Haemopoietic growth factors may have a role in stimulation of granulopoiesis after immunosuppressive therapy, but there is no evidence that they can correct the underlying stem-cell defect in SAA, and therefore no justification for their use alone in newly diagnosed SAA. Such treatment is harmful because it delays bone-marrow transplantation, or immunosuppressive therapy in older patients and those without suitable donors, thus reducing the chances of a successful outcome.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/7912771-7523817,
http://linkedlifedata.com/resource/pubmed/commentcorrection/7912771-7823700,
http://linkedlifedata.com/resource/pubmed/commentcorrection/7912771-7915804,
http://linkedlifedata.com/resource/pubmed/commentcorrection/7912771-7915805
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
|
pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
16
|
pubmed:volume |
344
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
N
|
pubmed:pagination |
172-3
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading | |
pubmed:year |
1994
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pubmed:articleTitle |
Haemopoietic growth factors in aplastic anaemia: a cautionary note. European Bone Marrow Transplant Working Party for Severe Aplastic Anaemia.
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pubmed:affiliation |
Department of Haematology, St George's Hospital, London, UK.
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pubmed:publicationType |
Journal Article
|