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Search: WFRF:(Steward C. G.) > Severe pulmonary hy...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003051naa a2200505 4500
001oai:gup.ub.gu.se/58812
003SwePub
008240528s2004 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/588122 URI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Steward, C. G.4 aut
2451 0a Severe pulmonary hypertension: a frequent complication of stem cell transplantation for malignant infantile osteopetrosis
264 1c 2004
520 a This report describes eight infants who developed acute severe pulmonary arterial hypertension (PAH) at days -2 to +89 after allogeneic stem cell transplantation (SCT) for malignant infantile osteopetrosis (MIOP). They were taken from a total of 28 children (frequency 29%) transplanted for this disease at three institutions between 1996 and 2002. Typical presentations were acute dyspnoea, hypoxia and brady/tachycardia usually in the absence of fever, crepitations or other evidence of infection. Six patients (75%) required assisted ventilation and five (62%) died. There was clinical or pathological evidence of veno-occlusive disease (VOD) in three children, but absence of VOD in the remaining five suggests that a separate disease process may be responsible for the PAH. Responses to nitric oxide (NO), defibrotide (DF), nicardipine and steroids in varying combinations were disappointing. Three children showed sustained improvement after administration of epoprostenol (EP, prostacyclin) in conjunction with NO and/or DF and remain well and free of PAH 25, 31 and 32 months post-transplant. PAH must therefore be excluded in any child who becomes acutely breathless after SCT for osteopetrosis.
653 a Antihypertensive Agents/therapeutic use
653 a Arrhythmia/etiology
653 a Dyspnea/etiology
653 a Female
653 a Humans
653 a Hypertension
653 a Pulmonary/*etiology/therapy
653 a Infant
653 a Male
653 a Osteopetrosis/*therapy
653 a Positive-Pressure Respiration
653 a Stem Cell Transplantation/*adverse effects
653 a Transplantation
653 a Homologous
653 a Treatment Outcome
700a Pellier, I.4 aut
700a Mahajan, A.4 aut
700a Ashworth, M. T.4 aut
700a Stuart, A. G.4 aut
700a Fasth, Anders,d 1945u Gothenburg University,Göteborgs universitet,Institutionen för kvinnors och barns hälsa, Avdelningen för pediatrik,Institute for the Health of Women and Children, Dept of Paediatrics4 aut0 (Swepub:gu)xfasan
700a Lang, D.4 aut
700a Fischer, A.4 aut
700a Friedrich, W.4 aut
700a Schulz, A. S.4 aut
710a Göteborgs universitetb Institutionen för kvinnors och barns hälsa, Avdelningen för pediatrik4 org
773t Br J Haematolg 124:1, s. 63-71q 124:1<63-71x 0007-1048
8564 8u https://gup.ub.gu.se/publication/58812

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