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一名慢性粒细胞白血病患者在接受异基因外周血干细胞移植后发生与慢性移植物抗宿主病相关的获得性鱼鳞病。

Acquired ichthyosis associated with chronic graft-versus-host disease following allogeneic peripheral blood stem cell transplantation in a patient with chronic myelogenous leukemia.

作者信息

Dilek I, Demirer T, Ustün C, Arat M, Koç H, Beksaç M, Erdi H, Anadolu R, Ozcan M, Ilhan O, Akan H

机构信息

Department of Hematology-Oncology, Medical School, Ibn-i Sina Hospital, Ankara, Turkey.

出版信息

Bone Marrow Transplant. 1998 Jun;21(11):1159-61. doi: 10.1038/sj.bmt.1701240.

Abstract

Acquired ichthyosis (AI) has rarely been described following bone marrow transplantation (BMT). We report a 29-year-old male, who underwent allogeneic peripheral blood stem cell transplantation (alloPBSCT) for chronic myelogenous leukemia, and who developed AI associated with chronic graft-versus-host disease (cGVHD). Both of these disorders were treated successfully with cyclosporin A. We conclude that AI may be related to an autoimmune process on the basis of cGVHD, and dermathopathologic evaluation must be performed in patients with skin changes suggesting AI following allogeneic bone marrow transplantation.

摘要

骨髓移植(BMT)后很少有获得性鱼鳞病(AI)的报道。我们报告一例29岁男性,因慢性粒细胞白血病接受了异基因外周血干细胞移植(alloPBSCT),并出现了与慢性移植物抗宿主病(cGVHD)相关的AI。这两种疾病均用环孢素A成功治疗。我们得出结论,基于cGVHD,AI可能与自身免疫过程有关,对于异基因骨髓移植后出现提示AI的皮肤改变的患者,必须进行皮肤病理评估。

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