Rjr. Mckendry et al., PROGRESSION OF RHEUMATOID-ARTHRITIS FOLLOWING BONE-MARROW TRANSPLANTATION - A CASE-REPORT WITH A 13-YEAR FOLLOW-UP, Arthritis and rheumatism, 39(7), 1996, pp. 1246-1253
The progression of rheumatoid arthritis (RA) is documented in a patien
t receiving a sex-mismatched, allogeneic bone marrow transplant (BMT)
for gold-induced marrow aplasia. DNA typing confirmed a high probabili
ty of a full donor engraftment (complete chimerism). Although the RA w
as in complete remission 2 years post-BMT, clinical, laboratory, histo
logic, and radiologic evidence of the recurrence of synovitis from 3-1
3 years post-BMT is presented, Implications of these observations for
theories of the pathogenesis of RA and the future of immunotherapies a
re discussed.