S. Ikushima et al., SUCCESSFUL ALLOGENEIC BONE-MARROW TRANSPLANTATION IN A CASE WITH MYELODYSPLASTIC SYNDROME WHICH DEVELOPED FOLLOWING FANCONI-ANEMIA, Bone marrow transplantation, 16(4), 1995, pp. 621-624
We report the case of a 14-year-old boy with myelo-dysplastic syndrome
(MDS/RAEB) which developed following Fanconi anemia. The patient rece
ived BMT from an HLA-identical sister. Based on the in vitro CY-sensit
ivity test, 100 mg/kg of CY was administered for conditioning combined
with 6 Gy TBI. Mucosal symptoms such as stomatitis, diarrhea and hema
turia were severe, but manageable, and engraftment was successful. The
patient has maintained normal trilineage hematopoiesis with >90% Karn
ofsky score for 30 months with disappearance of a clonal chromosomal a
bnormality (47,XY, +i(lq)) which was detected before BMT.