Engraftment syndrome: a common cause for rash and fever following autologous hematopoietic stem cell transplantation for multiple sclerosis.

Autor: Oyama Y; Division of Immune Therapy and Autoimmune Disease, Northwestern University School of Medicine, Chicago, IL 60611, USA., Cohen B, Traynor A, Brush M, Rodriguez J, Burt RK
Jazyk: angličtina
Zdroj: Bone marrow transplantation [Bone Marrow Transplant] 2002 Jan; Vol. 29 (1), pp. 81-5.
DOI: 10.1038/sj.bmt.1703324
Abstrakt: Autologous hematopoietic stem cell transplantation (HSCT) is currently being evaluated as a therapy for patients with progressive multiple sclerosis (MS) at risk of debilitating neurological impairment. While preliminary results from a few studies have been reported, little is known about toxicities or outcome of HSCT for MS. We report a relatively frequent triad of non-infectious fever, rash and fatigue or lassitude that may also be associated with pruritus, pulmonary symptoms, and eosinophilia and frequently occurs around engraftment. This syndrome occurred in 26% of our series of patients (5/19) undergoing HSCT for multiple sclerosis. The engraftment syndrome is usually self-limited but may require intervention with systemic corticosteroids.
Databáze: MEDLINE