TY - JOUR
T1 - Durable engraftment and correction of hematological abnormalities in children with congenital amegakaryocytic thrombocytopenia following myeloablative umbilical cord blood transplantation
AU - Mahadeo, Kris M.
AU - Tewari, Priti
AU - Parikh, Suhag H.
AU - Driscoll, Timothy A.
AU - Page, Kristin
AU - Martin, Paul L.
AU - Kurtzberg, Joanne
AU - Prasad, Vinod K.
PY - 2015
Y1 - 2015
N2 - The use of HSCT is the only potentially curative treatment for CAMT, but access is limited by the availability of suitable donors. We report five consecutive patients with CAMT who received MAC and partially HLA-mismatched, UCBT (unrelated, n = 4). Median times to neutrophil (>500/μL) and platelet (≥20 000 and ≥50 000/μL) engraftment were 19, 57, and 70 days, respectively. Acute GvHD, grade II, developed in one patient, who subsequently developed limited chronic GvHD. At median follow-up of 14 yr, all patients are alive with sustained donor cell engraftment. To our knowledge, this is the largest single-center series of UCBT for patients with this disease and suggests that UCBT is a successful curative option for patients with CAMT.
AB - The use of HSCT is the only potentially curative treatment for CAMT, but access is limited by the availability of suitable donors. We report five consecutive patients with CAMT who received MAC and partially HLA-mismatched, UCBT (unrelated, n = 4). Median times to neutrophil (>500/μL) and platelet (≥20 000 and ≥50 000/μL) engraftment were 19, 57, and 70 days, respectively. Acute GvHD, grade II, developed in one patient, who subsequently developed limited chronic GvHD. At median follow-up of 14 yr, all patients are alive with sustained donor cell engraftment. To our knowledge, this is the largest single-center series of UCBT for patients with this disease and suggests that UCBT is a successful curative option for patients with CAMT.
KW - congenital amegakaryocytic thrombocytopenia
KW - cord blood transplantation
KW - hematopoietic stem cell transplantation
KW - thrombocytopenia
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U2 - 10.1111/petr.12577
DO - 10.1111/petr.12577
M3 - Article
C2 - 26369627
SN - 1397-3142
VL - 19
SP - 753
EP - 757
JO - Pediatric Transplantation
JF - Pediatric Transplantation
IS - 7
ER -