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在患有镰状细胞病的儿科患者中,阿仑单抗治疗和造血细胞移植后发生的自身免疫性甲状腺疾病。

Autoimmune thyroid disease following alemtuzumab therapy and hematopoietic cell transplantation in pediatric patients with sickle cell disease.

作者信息

Williams Kristen M, Dietzen Danielle, Hassoun Abeer A, Fennoy Ilene, Bhatia Monica

机构信息

Department of Pediatrics, Columbia University Medical Center, New York, NY.

出版信息

Pediatr Blood Cancer. 2014 Dec;61(12):2307-9. doi: 10.1002/pbc.25102. Epub 2014 Jun 17.

Abstract

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.

摘要

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。

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Immune reconstitution syndrome and the thyroid.免疫重建综合征与甲状腺。
Best Pract Res Clin Endocrinol Metab. 2009 Dec;23(6):693-702. doi: 10.1016/j.beem.2009.07.003.

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