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Abnormal cytogenetic clones in patients with aplastic anaemia: response to immunosuppressive therapy

Lookup NU author(s): Professor Christine Harrison FRCPath FMedSci

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Abstract

We report the response to immunosuppressive therapy with antithymocyte globulin (ATG) and cyclosporin or oxymetholone in 13 cases of aplastic anaemia (AA) with an abnormal cytogenetic clone detected at or sometime after diagnosis. Blood and bone marrow examination showed no distinctive morphological features of myelodysplasia (MDS) at diagnosis. Haematological response occurred promptly in eight cases; the remainder responded after additional immunosuppression with or without oxymetholone. Three patients had a late relapse of AA, treated successfully by allogeneic bone marrow transplantation in one; the others responded to oxymetholone. Transformation to MDS or acute leukaemia was not observed after a median follow-up of 4.1 years (range 1.2-11.2). In four patients the cytogenetic clone disappeared after treatment.

Publication metadata

Author(s): Geary CG, Harrison CJ, Philpott NJ, Hows JM, Gordon-Smith EC, Marsh JC

Publication type: Article

Publication status: Published

Journal: British Journal of Haematology

Year: 1999

Volume: 104

Issue: 2

Pages: 271-274

ISSN (print): 0007-1048

ISSN (electronic): 1365-2141

Publisher: Wiley-Blackwell Publishing Ltd.

URL: http://dx.doi.org/10.1046/j.1365-2141.1999.01187.x

DOI: 10.1046/j.1365-2141.1999.01187.x

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