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遗传性骨髓衰竭综合征造血干细胞移植后的迟发效应筛查指南:第二届儿科血液与骨髓移植联合会国际儿科造血干细胞移植后迟发效应会议的共识声明

Late Effects Screening Guidelines after Hematopoietic Cell Transplantation for Inherited Bone Marrow Failure Syndromes: Consensus Statement From the Second Pediatric Blood and Marrow Transplant Consortium International Conference on Late Effects After Pediatric HCT.

作者信息

Dietz Andrew C, Savage Sharon A, Vlachos Adrianna, Mehta Parinda A, Bresters Dorine, Tolar Jakub, Bonfim Carmem, Dalle Jean Hugues, de la Fuente Josu, Skinner Roderick, Boulad Farid, Duncan Christine N, Baker K Scott, Pulsipher Michael A, Lipton Jeffrey M, Wagner John E, Alter Blanche P

机构信息

Children's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California.

Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.

出版信息

Biol Blood Marrow Transplant. 2017 Sep;23(9):1422-1428. doi: 10.1016/j.bbmt.2017.05.022. Epub 2017 May 19.

Abstract

Patients with inherited bone marrow failure syndromes (IBMFS), such as Fanconi anemia (FA), dyskeratosis congenita (DC), or Diamond Blackfan anemia (DBA), can have hematologic manifestations cured through hematopoietic cell transplantation (HCT). Subsequent late effects seen in these patients arise from a combination of the underlying disease, the pre-HCT therapy, and the HCT process. During the international consensus conference sponsored by the Pediatric Blood and Marrow Transplant Consortium on late effects screening and recommendations following allogeneic hematopoietic cell transplantation for immune deficiency and nonmalignant hematologic diseases held in Minneapolis, Minnesota in May 2016, a half-day session was focused specifically on the unmet needs for these patients with IBMFS. This multidisciplinary group of experts in rare diseases and transplantation late effects has already published on the state of the science in this area, along with discussion of an agenda for future research. This companion article outlines consensus disease-specific long-term follow-up screening guidelines for patients with IMBFS.

摘要

患有遗传性骨髓衰竭综合征(IBMFS)的患者,如范可尼贫血(FA)、先天性角化不良(DC)或先天性纯红细胞再生障碍性贫血(DBA),其血液学表现可通过造血细胞移植(HCT)治愈。这些患者随后出现的晚期效应是由潜在疾病、HCT前治疗以及HCT过程共同导致的。在2016年5月于明尼苏达州明尼阿波利斯市举行的由儿科血液和骨髓移植协会主办的关于免疫缺陷和非恶性血液病异基因造血细胞移植后晚期效应筛查及建议的国际共识会议上,专门用半天时间聚焦于这些IBMFS患者尚未满足的需求。这个由罕见病和移植晚期效应方面的多学科专家组成的团队已经发表了该领域的科学现状以及对未来研究议程的讨论。这篇配套文章概述了针对IMBFS患者的特定疾病共识长期随访筛查指南。

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