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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1996-11-6
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pubmed:abstractText |
Allogeneic BMT using a non-genotypically HLA-identical donor may be curative for children suffering from lethal haematological diseases, who lack a genotypically HLA-identical donor. Unfortunately, graft failures are often seen, especially after T cell depletion of the graft. We studied whether untimely decreased counts of leucocytes and reticulocytes in peripheral blood might predict graft failure at an early stage. Fifty-five recipients of a non-genotypically HLA-identical BM graft were included in the study; data from these children were compared with those of 77 recipients of a genotypically HLA-identical BM graft. Time-related reference values of peripheral blood leucocyte and reticulocyte counts were established in graft recipients with proven donor-origin recovery after BMT. Graft failure after nonHLA-identical BMT was observed in 16 out of 55 children (29%) and after HLA-identical BMT in one out of 77 (1.3%). With respect to early graft failure, the predictive value of granulocyte numbers falling below the lower limit of the reference values and a rapid decline of reticulocyte numbers after their appearance in peripheral blood was 100% (95% confidence intervals of 83-100% and of 80-100%, respectively). Early immunosuppressive intervention was applied in six patients and was successful in three of them.
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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 |
May
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
781-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8733698-Adolescent,
pubmed-meshheading:8733698-Adult,
pubmed-meshheading:8733698-Anemia, Aplastic,
pubmed-meshheading:8733698-Bone Marrow Transplantation,
pubmed-meshheading:8733698-Case-Control Studies,
pubmed-meshheading:8733698-Child,
pubmed-meshheading:8733698-Child, Preschool,
pubmed-meshheading:8733698-Follow-Up Studies,
pubmed-meshheading:8733698-Graft Rejection,
pubmed-meshheading:8733698-HLA Antigens,
pubmed-meshheading:8733698-Humans,
pubmed-meshheading:8733698-Infant,
pubmed-meshheading:8733698-Leukemia,
pubmed-meshheading:8733698-Leukocyte Count,
pubmed-meshheading:8733698-Reticulocyte Count,
pubmed-meshheading:8733698-Time Factors,
pubmed-meshheading:8733698-Transplantation, Homologous
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pubmed:year |
1996
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pubmed:articleTitle |
Follow-up of leucocyte and reticulocyte counts for the prediction of early graft failure after non-HLA-identical BMT in children.
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pubmed:affiliation |
Department of Paediatrics, Leiden University Hospital, The Netherlands.
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pubmed:publicationType |
Journal Article
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