Williams Kristen M, Dietzen Danielle, Hassoun Abeer A, Fennoy Ilene, Bhatia Monica
Department of Pediatrics, Columbia University Medical Center, New York, NY.
Pediatr Blood Cancer. 2014 Dec;61(12):2307-9. doi: 10.1002/pbc.25102. Epub 2014 Jun 17.
Allogenic hematopoietic cell transplantation (alloHCT) is currently the only curative treatment option for patients with sickle cell disease. Alemtuzumab is a monoclonal antibody directed against CD52 positive cells used in myeloablative conditioning regimens for alloHCT. Its use has been associated with development of autoimmune disease in adult patients with rheumatologic conditions. We report on three cases of new onset autoimmune thyroid disease after alloHCT treatment with alemtuzumab in pediatric patients with sickle cell disease.
异基因造血细胞移植(alloHCT)目前是镰状细胞病患者唯一的治愈性治疗选择。阿仑单抗是一种针对CD52阳性细胞的单克隆抗体,用于alloHCT的清髓性预处理方案。在患有风湿性疾病的成年患者中,其使用与自身免疫性疾病的发生有关。我们报告了3例镰状细胞病儿科患者在接受阿仑单抗alloHCT治疗后新发自身免疫性甲状腺疾病的病例。