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伊马替尼治疗慢性移植物抗宿主病2例临床分析
引用本文:杨盛茹,林圣云,周郁鸿,武利强,胡致平,戴铁颖.伊马替尼治疗慢性移植物抗宿主病2例临床分析[J].中华移植杂志(电子版),2010,4(1):27-29.
作者姓名:杨盛茹  林圣云  周郁鸿  武利强  胡致平  戴铁颖
作者单位:浙江中医药大学附属第一临床医院,杭州,310006
摘    要:目的探讨伊马替尼治疗异基因造血干细胞移植(allo-HSCT)后慢性移植物抗宿主病(GVHD)伴嗜酸性粒细胞增多的疗效及嗜酸性粒细胞增多与慢性GVHD的关系。方法回顾性分析2例白血病患者allo-HSCT术后慢性GVHD的诊治经过并结合文献复习讨论。结果 2例患者分别于移植后5个月和76d出现口腔溃疡、皮肤瘙痒、皮疹、胆红素水平增高和转氨酶水平增高,伴有嗜酸性粒细胞增多,诊断为局限型慢性GVHD,激素治疗不佳,加用伊马替尼后症状缓解,嗜酸性粒细胞数降至正常,无不良反应。结论伊马替尼治疗慢性移植物抗宿主病安全、有效,嗜酸性粒细胞增多可能与GVHD有一定的关系。

关 键 词:伊马替尼  异基因造血干细胞移植  移植物抗宿主病

Efficacy of imatinib mesylate in the treatment of chronic graft-versus-host disease: a report of 2 cases
YANG Sheng-ru,LIN Sheng-yun,ZHOU Yu-hong,WU Li-qiang,HU Zhi-ping,DAI Tie-ying.Efficacy of imatinib mesylate in the treatment of chronic graft-versus-host disease: a report of 2 cases[J].Chinese Journal of Transplanation(Electronic Version),2010,4(1):27-29.
Authors:YANG Sheng-ru  LIN Sheng-yun  ZHOU Yu-hong  WU Li-qiang  HU Zhi-ping  DAI Tie-ying
Institution:YANG Sheng-ru,LIN Sheng-yun,ZHOU Yu-hong,WU Li-qiang,HU Zhi-ping,DAI Tie-ying. The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China
Abstract:Objective To investigate the effect of imatinib mesylate on chronic graft-versus-host disease ( GVHD) after allogeneic hematopoietic stem cell transplantation ( allo-HSCT) in patients with increased eosinophils,and to explore the relationship between chronic GVHD and increased eosinophils. Methods The clinical data of 2 cases of leukemia after allo-HSCT with chronic GVHD were retrospectively analyzed and related medical literatures were reviewed. Results Chronic GVHD manifestations including oral ulcers,ski...
Keywords:Imatinib  Allogeneic hematopoietic stem cell transplantation  Graft vs host disease  
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