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中枢神经系统移植物抗宿主病一例报告及文献复习

A Case Report of Central Nervous System Graft-Versus-Host Disease and Literature Review.

作者信息

Li Mingming, Zhang Yue, Guan Yujia, Zhang Zunwei, Dong Hanbing, Zhao Yang, Deng Hui

机构信息

Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, China.

出版信息

Front Neurol. 2021 Mar 10;12:621392. doi: 10.3389/fneur.2021.621392. eCollection 2021.

Abstract

As an adverse immune phenomenon, graft-versus-host disease often occurs after allogeneic hematopoietic stem cell transplantation. The incidence of acute and chronic graft-versus-host disease is about 40-60% and the mortality rate can reach 15%, which is a potentially fatal disease. There are rare GvHD cases involving the central nervous system. We reported a rare case of diffuse white matter changes after haploid bone marrow transplantation, summarizing its clinical manifestations and diagnosis and treatment in conjunction with the literature.

摘要

作为一种不良免疫现象,移植物抗宿主病常发生于异基因造血干细胞移植后。急慢性移植物抗宿主病的发生率约为40%-60%,死亡率可达15%,是一种潜在的致命性疾病。涉及中枢神经系统的移植物抗宿主病病例较为罕见。我们报告了1例单倍体骨髓移植后发生弥漫性白质改变的罕见病例,并结合文献总结其临床表现及诊治情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/556f/7987907/f30be3db3cee/fneur-12-621392-g0001.jpg

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