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Allogeneic hematopoietic stem cell transplant for high-risk adult patients with chronic granulomatous disease: first case report from Iran.

Abstract
We describe the successful hematopoietic stem cell transplant of a 22-year-old patient with chronic granulomatous disease at our center. Our case was a relatively old male patient compared with other patients having the diagnosis of chronic granulomatous disease who underwent hematopoietic stem cell transplant. The patient was diagnosed as chronic granulomatous disease at the age of 1 year when he developed repeated bacterial infections since 2 months of age and laboratory test revealed 0% of normal control value on nitroblue tetrazolium test. In December 2011, at 22 years of age, he underwent an allogeneic hematopoietic stem cell transplant from human leukocyte antigen fully matched sibling. Conditioning regimen was busulfan 16 mg/kg and cyclophosphamide 120 mg/kg. He received methotrexate and cyclosporine as prophylaxis for graft-versus-host disease. Engraftment was achieved at day 13. At the time of this writing, the patient is alive and well with no serious complication and without any evidence of graft-versus-host disease or rejection 12 months after stem cell transplant.
AuthorsMani Ramzi, Alireza Rezvani, Hourvash Haghighinejad
JournalExperimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation (Exp Clin Transplant) Vol. 12 Issue 5 Pg. 490-3 (Oct 2014) ISSN: 2146-8427 [Electronic] Turkey
PMID25299376 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Immunosuppressive Agents
Topics
  • Graft Survival
  • Graft vs Host Disease (immunology, prevention & control)
  • Granulomatous Disease, Chronic (diagnosis, surgery)
  • Hematopoietic Stem Cell Transplantation (adverse effects)
  • Humans
  • Immunosuppressive Agents (therapeutic use)
  • Iran
  • Living Donors
  • Male
  • Risk Factors
  • Time Factors
  • Transplantation Conditioning (methods)
  • Transplantation, Homologous
  • Treatment Outcome
  • Young Adult

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