Aplastic Anemia: Pathogenesis and Treatment
Author(s) -
Almalina Bacigalupo,
Giovanna Piaggio,
M. T. Van Lint,
O Figari,
A Marmont,
M. Congiu
Publication year - 1987
Publication title -
oncology research and treatment
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.553
H-Index - 48
eISSN - 2296-5262
pISSN - 2296-5270
DOI - 10.1159/000216399
Subject(s) - aplastic anemia , immunosuppression , pathogenesis , medicine , human leukocyte antigen , haematopoiesis , immunology , anemia , stem cell , bone marrow , biology , antigen , genetics
Treatment of severe aplastic anemia (SAA) in Europe between 1970 and 1986 is reviewed. 487 patients received an HLA-identical BMT: results are encouraging and currently suggest a 65% survival. However, many patients cannot be offered this procedure because of the absence of an appropriate donor. Forty-five patients were given a non-HLA identical BMT: results are dependent on the degree of mismatch. Immunosuppression (IS) was given to 509 patients: 50% of these survive. Some mechanisms regulating in vitro hematopoiesis are discussed, together with their relevance in the treatment of SAA.
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