Successful allogeneic bone marrow transplantation after massive gastrointestinal bleeding in a patient with myelodysplastic syndrome associated with intestinal Behçet-like disease

Autor: Arata Ishii, Shokichi Tsukamoto, Tatsuzo Mishina, Shintaro Izumi, Yurie Nagai, Miki Yamazaki, Yutaro Hino, Kensuke Kayamori, Nagisa Oshima-Hasegawa, Tomoya Muto, Shio Mitsukawa, Yusuke Takeda, Naoya Mimura, Chikako Ohwada, Chiaki Nakaseko, Jun-ichiro Ikeda, Emiko Sakaida
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Leukemia Research Reports, Vol 16, Iss , Pp 100278- (2021)
Druh dokumentu: article
ISSN: 2213-0489
DOI: 10.1016/j.lrr.2021.100278
Popis: A 45-year-old woman was diagnosed with myelodysplastic syndrome (MDS) with trisomy 8 and Behçet-like disease (BLD) with multiple colorectal ulcers. Nonspecific inflammatory cells were infiltrated in the intestinal mucosa, whereas fluorescence in situ hybridization (FISH) analysis revealed only sporadic trisomy 8-positive cells. She presented massive lower gastrointestinal bleeding early after bone marrow transplantation but achieved long-term remission of both MDS and BLD. This is the first report of massive gastrointestinal bleeding after transplantation for MDS with BLD. Based on FISH analysis, dysregulation of systemic inflammation may be involved in BLD rather than direct invasion by trisomy 8-positive MDS clones.
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