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干细胞移植后泛发性白癜风:一例报告

Generalized Vitiligo After Stem Cell Transplantation: A Case Report.

作者信息

Wang Yunxia, Hu Wenting, Lin Fuquan, Xu Ai E

机构信息

Department of Dermatology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, People's Republic of China.

Department of Dermatology, Hangzhou Third People's Hospital, Hangzhou, Zhejiang Province, People's Republic of China.

出版信息

Clin Cosmet Investig Dermatol. 2023 Jul 25;16:1945-1948. doi: 10.2147/CCID.S420342. eCollection 2023.

DOI:10.2147/CCID.S420342
PMID:37519939
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10386828/
Abstract

Graft versus host disease (GVHD) is a complex immune-mediated pathophysiological process, which is caused by allogenic immune reactions between donors and recipients. No matter ac-ute or chronic GVHD, skin involvement is the most common, severe skin damage can lead to permanent disfigurement, which seriously affects the long-term quality of life of patients. We herein report a patient with generalized vitiligo after allogeneic peripheral hematopoietic stem cell transplantation (allo-HSCT) for aplastic anemia.

摘要

移植物抗宿主病(GVHD)是一个复杂的免疫介导的病理生理过程,由供体和受体之间的同种异体免疫反应引起。无论急性还是慢性GVHD,皮肤受累最为常见,严重的皮肤损伤可导致永久性毁容,严重影响患者的长期生活质量。我们在此报告一例再生障碍性贫血患者在接受异基因外周造血干细胞移植(allo-HSCT)后发生泛发性白癜风。

相似文献

1
Generalized Vitiligo After Stem Cell Transplantation: A Case Report.干细胞移植后泛发性白癜风:一例报告
Clin Cosmet Investig Dermatol. 2023 Jul 25;16:1945-1948. doi: 10.2147/CCID.S420342. eCollection 2023.
2
[Outcome of allogeneic hematopoietic stem cell transplantation from HLA-matched sibling donor for 41 cases of severe aplastic anemia].[41例重型再生障碍性贫血患者接受人类白细胞抗原匹配同胞供者异基因造血干细胞移植的疗效]
Zhonghua Xue Ye Xue Za Zhi. 2012 Aug;33(8):610-4.
3
Graft--host disease and relapse/rejection-free survival after allogeneic transplantation for idiopathic severe aplastic anemia: a comprehensive analysis from the SAAWP of the EBMT.同种异体移植治疗特发性重型再生障碍性贫血后移植物抗宿主病和无复发/排斥反应生存:来自 EBMT 的 SAAWP 的综合分析。
Haematologica. 2023 Sep 1;108(9):2305-2315. doi: 10.3324/haematol.2022.281876.
4
Long-term results of allogeneic peripheral blood hematopoietic stem cell transplantation for severe aplastic anemia.异基因外周血造血干细胞移植治疗重型再生障碍性贫血的长期疗效。
Transfus Apher Sci. 2021 Apr;60(2):103050. doi: 10.1016/j.transci.2020.103050. Epub 2021 Jan 2.
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Efficacy and safety of human umbilical cord derived mesenchymal stem cell therapy in children with severe aplastic anemia following allogeneic hematopoietic stem cell transplantation: a retrospective case series of 37 patients.人脐带间充质干细胞治疗儿童异基因造血干细胞移植后重型再生障碍性贫血的疗效与安全性:37例回顾性病例系列研究
Pediatr Hematol Oncol. 2014 Feb;31(1):39-49. doi: 10.3109/08880018.2013.867556. Epub 2014 Jan 2.
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Significant Risk of Graft-versus-Host Disease with Exposure to Checkpoint Inhibitors before and after Allogeneic Transplantation.在异基因移植前后暴露于检查点抑制剂会有严重的移植物抗宿主病风险。
Biol Blood Marrow Transplant. 2019 Jan;25(1):94-99. doi: 10.1016/j.bbmt.2018.08.028. Epub 2018 Sep 6.
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Outcomes with CD34-Selected Stem Cell Boost for Poor Graft Function after Allogeneic Hematopoietic Stem Cell Transplantation: A Systematic Review and Meta-Analysis.异基因造血干细胞移植后 CD34 选择干细胞增强治疗移植物功能不良的结局:系统评价和荟萃分析。
Transplant Cell Ther. 2021 Oct;27(10):877.e1-877.e8. doi: 10.1016/j.jtct.2021.07.012. Epub 2021 Jul 18.
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Clinical applications of haploidentical hematopoietic stem cell transplantation in severe aplastic anemia.单倍体相合造血干细胞移植在重型再生障碍性贫血中的临床应用
Eur Rev Med Pharmacol Sci. 2017 Jan;21(1):155-161.
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[Second allogeneic hematopoietic stem cell transplantation with reduced-intensity conditioning and donor changes in relapsed hematological malignancies after the first allogeneic transplant].[首次异基因造血干细胞移植后复发血液系统恶性肿瘤的二次异基因造血干细胞移植:采用减低剂量预处理及供者变更]
Zhonghua Xue Ye Xue Za Zhi. 2023 Jun 14;44(6):465-471. doi: 10.3760/cma.j.issn.0253-2727.2023.06.004.
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Obesity induces gut microbiota alterations and augments acute graft-versus-host disease after allogeneic stem cell transplantation.肥胖会导致肠道微生物群改变,并加剧异基因干细胞移植后的急性移植物抗宿主病。
Sci Transl Med. 2020 Nov 25;12(571). doi: 10.1126/scitranslmed.aay7713.

引用本文的文献

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Vitiligo and Alopecia Areata After Donor Lymphocyte Infusions in a Child With Relapsed Acute Myeloid Leukemia.一名复发性急性髓系白血病儿童接受供体淋巴细胞输注后出现白癜风和斑秃。
Cureus. 2024 Jan 23;16(1):e52810. doi: 10.7759/cureus.52810. eCollection 2024 Jan.

本文引用的文献

1
Vitiligo-like manifestations of graft-versus-host disease in a pediatric population.移植物抗宿主病在儿科人群中的白癜风样表现。
Pediatr Dermatol. 2023 Jan;40(1):157-161. doi: 10.1111/pde.15121. Epub 2022 Sep 5.
2
Insights from integrating clinical and preclinical studies advance understanding of graft-versus-host disease.整合临床前和临床研究的见解可增进移植物抗宿主病的理解。
J Clin Invest. 2021 Jun 15;131(12). doi: 10.1172/JCI149296.
3
Skin pigmentation and its control: From ultraviolet radiation to stem cells.皮肤色素沉着及其调控:从紫外线辐射到干细胞。
Exp Dermatol. 2021 Apr;30(4):560-571. doi: 10.1111/exd.14260. Epub 2020 Dec 24.
4
Preventing Graft-Versus-Host Disease Without Losing Graft-Versus-Leukemia Effect After Allogeneic Stem-Cell Transplantation.异基因干细胞移植后预防移植物抗宿主病且不丧失移植物抗白血病效应
J Clin Oncol. 2020 Oct 10;38(29):3357-3360. doi: 10.1200/JCO.20.01756. Epub 2020 Jul 24.
5
MHC Class II Antigen Presentation by the Intestinal Epithelium Initiates Graft-versus-Host Disease and Is Influenced by the Microbiota.肠道上皮细胞的 MHC II 类抗原呈递引发移植物抗宿主病,并受微生物群影响。
Immunity. 2019 Nov 19;51(5):885-898.e7. doi: 10.1016/j.immuni.2019.08.011. Epub 2019 Sep 18.
6
T cell pathology in skin inflammation.皮肤炎症中的 T 细胞病理学。
Semin Immunopathol. 2019 May;41(3):359-377. doi: 10.1007/s00281-019-00742-7. Epub 2019 Apr 26.
7
Pathophysiology of Chronic Graft-versus-Host Disease and Therapeutic Targets.慢性移植物抗宿主病的病理生理学及治疗靶点
N Engl J Med. 2017 Dec 28;377(26):2565-2579. doi: 10.1056/NEJMra1703472.
8
Keratinocyte-Derived Chemokines Orchestrate T-Cell Positioning in the Epidermis during Vitiligo and May Serve as Biomarkers of Disease.角质形成细胞衍生的趋化因子在白癜风期间协调T细胞在表皮中的定位,并可能作为疾病的生物标志物。
J Invest Dermatol. 2017 Feb;137(2):350-358. doi: 10.1016/j.jid.2016.09.016. Epub 2016 Sep 26.
9
CXCL10 is critical for the progression and maintenance of depigmentation in a mouse model of vitiligo.CXCL10 对于白癜风小鼠模型中色素脱失的进展和维持至关重要。
Sci Transl Med. 2014 Feb 12;6(223):223ra23. doi: 10.1126/scitranslmed.3007811.
10
Vitiligo after hematopoietic cell transplantation: six cases and review of the literature.造血干细胞移植后白癜风:6例病例及文献复习
Dermatology. 2008;216(4):349-54. doi: 10.1159/000117705. Epub 2008 Feb 20.