2010
Retrospective Survey on the Prevalence and Outcome of Prior Autoimmune Diseases in Patients with Aplastic Anemia Reported to the Registry of the European Group for Blood and Marrow Transplantation
CESARO, Simone; Judith MARSH; Gloria TRIDELLO; Alicia ROVO; Sebastien MAURY et al.Základní údaje
Originální název
Retrospective Survey on the Prevalence and Outcome of Prior Autoimmune Diseases in Patients with Aplastic Anemia Reported to the Registry of the European Group for Blood and Marrow Transplantation
Autoři
CESARO, Simone; Judith MARSH; Gloria TRIDELLO; Alicia ROVO; Sebastien MAURY; Barbara MONTANTE; Tamás MASSZI; Maria Teresa VAN LINT; Boris AFANASYEV; Arturo Iriondo ATIENZA; Marc BIERINGS; Cecilia CARBONE; Michael DOUBEK; Edoardo LANINO; Mahmoud SARHAN; Antonio RISITANO; Kateřina STEINEROVÁ; Anders WAHLIN; Anna PEGORARO a Jakob PASSWEG
Vydání
Acta Haematologica, 2010, 0001-5792
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 1.316
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/10:00051410
Organizační jednotka
Lékařská fakulta
UT WoS
Klíčová slova anglicky
Aplastic anemia; Autoimmune disease; Hematopoietic stem cell transplantation; Immunosuppression
Příznaky
Mezinárodní význam
Změněno: 16. 4. 2012 11:44, Mgr. Michal Petr
Anotace
V originále
Background: Aplastic anemia (AA) is rarely described after a diagnosis of autoimmune disease (aID). Aims: To assess the prevalence of prior aID in patients with AA recorded in the registry of the European Group for Blood and Marrow Transplantation (EBMT) and to evaluate treatment and outcome. Methods: 1,251 AA patients from 18 EBMT centers were assessed. Results: Fifty patients (4%) were eligible: 22 males and 28 females with a median age of 46 years at the diagnosis of aID and of 51 years at the diagnosis of AA. Information on the treatment of AA was available in 49 patients: 38 received only immunosuppressive therapy (IST), 8 patients underwent hematopoietic stem cell transplantation (HSCT) - 6 as first-line therapy and 2 after failure of IST - whilst 3 patients had a spontaneous recovery. After a median follow-up of 3.19 years, 32 patients were alive, including 7 of the 8 patients who underwent HSCT. Only 6 of 32 patients who were alive at the last follow-up were receiving IST for AA. Conclusions: Most cases of AA following aID benefitted from IST or HSCT if a matched donor was available. Further prospective investigation is needed to assess the effects of IST on the outcome of underlying aID.