Table of Contents

HK J Paediatr (New Series)
Vol 1. No. 2, 1996

HK J Paediatr (New Series) 1996;1:219

Proceedings of Clinical Meeting

HLA Mismatched Bone Marrow Transplantation

ZG Huang, XX Li


HK J Paediatr (new series) 1996;1:207-220

The First Joint Scientific Meeting of Hong Kong College of Paediatricians and Guangdong Pediatric Society of the Chinese Medical Association
May 25, 1996

Eleven patients were treated with HLA mismatched BMT in 1986 to 1955. All patients are male, aged from 1 to 29 years old. They were suffered form severe aplastic anemia, thalassemia, acute lymphoblastic leukemia or chronic myeloblastic leukemia. HLA typing were 1 to 3 loci mismatched, 4 cases of thalassemia were haploid matched.

Engraftment occurred in 8 out of 11 patients, engrafting rate 72.7% (8/11). Four patients ill with leukemia are alive without disease for more than two years, survival rate 36.3% (4/11).

Conditioning regimen: majority of the patients were treated with cyclophosphamide 110-120mg/kg and received single total body irradiation 750 cGy.

Eight patients who got engraftment all had GVHD, 2 of them died of lethal hyperacute GVHD. It suggested that in mismatched BMT, the prevention and treatment of GVHD are very important.

 
 

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