Refractory Evans Syndrome after Autologous Stem Cell Transplantation for Multiple Myeloma: Management with a Second Transplantation
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概要
- 論文の詳細を見る
The development of autoimmune disease after autologous stem cell transplantation (ASCT) is very rare in multiple myeloma (MM). We describe the first case of Evans syndrome after ASCT for MM. A 60-year-old man with MM received ASCT and subsequently developed Evans syndrome following two febrile episodes. The syndrome was refractory to conventional therapies but it was managed with a second ASCT. This unique complication was thought to have been triggered by an infection during the recovery of the immune system. We assumed that reconstructing the immune system via ASCT might eliminate infection-induced autoantibodies to platelets and erythrocytes.
- 社団法人 日本内科学会の論文
著者
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Ohno Tatsuharu
Division Of Hematology And Immunology Department Of Internal Medicine Ohtsu Red Cross Hospital
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TAKEOKA Tomoharu
Division of Hematology and Immunology, Department of Internal Medicine, Ohtsu Red Cross Hospital
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Takeoka Tomoharu
Division Of Hematology And Immunology Department Of Internal Medicine Ohtsu Red Cross Hospital
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SAKAMOTO TAKASHI
Division of Radiation Biology, Faculty of Pharmaceutical Sciences, Kanazawa University
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CHIHARA Dai
Division of Hematology and Immunology, Department of Internal Medicine, Ohtsu Red Cross Hospital
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TSUJI Masaaki
Division of Hematology and Immunology, Department of Internal Medicine, Ohtsu Red Cross Hospital
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Arimoto-Miyamoto Kazue
Division of Hematology and Immunology, Department of Internal Medicine, Ohtsu Red Cross Hospital
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Kishimoto Wataru
Division of Hematology and Immunology, Department of Internal Medicine, Ohtsu Red Cross Hospital
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