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骨髓移植后由抗A1抗体引起的获得性免疫性溶血。

Acquired immune haemolysis by anti A 1 antibody following bone marrow transplantation.

作者信息

Haas R J, Rieber P, Helmig M, Strobel E, Belohradsky B H, Heim M U

出版信息

Blut. 1986 Nov;53(5):401-4. doi: 10.1007/BF00321102.

DOI:10.1007/BF00321102
PMID:3535932
Abstract

In ABO mismatched organ or bone marrow transplants recently some cases of acquired immune hemolysis have been reported. It was felt that these life threatening complications were due to immunosuppressive treatment with cyclosporin-A. A case of severe hemolysis following mismatched BMT is reported. Here no cyclosporin-A treatment was given since the bone marrow was T-cell deprived by an E-rosetting technique. Apparently T-cell purging can under these conditions become dangerous.

摘要

在ABO血型不匹配的器官或骨髓移植中,最近已有一些获得性免疫性溶血病例的报道。据认为,这些危及生命的并发症是由于使用环孢素A进行免疫抑制治疗所致。本文报告了1例不匹配骨髓移植后发生严重溶血的病例。由于采用E花环技术去除了骨髓中的T细胞,因此未给予环孢素A治疗。显然,在这些情况下,T细胞清除可能会变得危险。

相似文献

1
Acquired immune haemolysis by anti A 1 antibody following bone marrow transplantation.骨髓移植后由抗A1抗体引起的获得性免疫性溶血。
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本文引用的文献

1
Expression of blood group A antigens in human bone marrow cells.人类骨髓细胞中血型A抗原的表达。
Blood. 1981 Jan;57(1):147-51.
2
Bone marrow transplantation with major ABO blood group incompatibility using erythrocyte depletion of marrow prior to infusion.在输注前通过去除骨髓中的红细胞进行主要ABO血型不合的骨髓移植。
Blood. 1982 Aug;60(2):420-5.
3
ABH antigens and bone marrow transplantation.ABH抗原与骨髓移植
Br J Haematol. 1980 Jan;44(1):65-73. doi: 10.1111/j.1365-2141.1980.tb01184.x.
4
Inhibition of T-cell activity by cyclosporin A.环孢菌素A对T细胞活性的抑制作用。
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5
Acquired hemolytic anemia due to "auto"-anti-A or "auto"-anti-B induced by group O homograft in renal transplant recipients.
Transfusion. 1984 May-Jun;24(3):201-5. doi: 10.1046/j.1537-2995.1984.24384225021.x.
6
Development of 'auto-anti-A1 antibodies' following alloimmunization in an A2 recipient.A2 型受者同种免疫后“自身抗 A1 抗体”的产生。
Br J Haematol. 1983 Dec;55(4):657-63. doi: 10.1111/j.1365-2141.1983.tb02848.x.
7
ABO haemolytic anaemia in transplanted patients.
Vox Sang. 1985;49(1):42-8. doi: 10.1111/j.1423-0410.1985.tb00767.x.
8
Donor-derived red blood cell antibodies and immune hemolysis after allogeneic bone marrow transplantation.
Blood. 1986 Jan;67(1):177-81.
9
Transplantation of major ABO-incompatible bone marrow depleted of red cells by hydroxyethyl starch.通过羟乙基淀粉去除红细胞的主要ABO血型不相容骨髓移植。
Vox Sang. 1985;48(2):89-104. doi: 10.1111/j.1423-0410.1985.tb00152.x.
10
ABO-incompatible marrow transplants.
Transplantation. 1978 Oct;26(4):233-8. doi: 10.1097/00007890-197810000-00006.