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Rheumatology 1999; 38: 774-776
© 1999 British Society for Rheumatology


Paediatric Rheumatology: Autologous Stem Cell Transplantation in Rheumatic Diseases of Childhood

Haematological stem cell transplantation in the treatment of severe autoimmune diseases: first experiences from an international project

Series Editor: P. Woo

A. Tyndall

Department of Rheumatology, University Hospital Felix Platter Spital, Burgfelderstrasse 101, Basel 4012, Switzerland

The use of profound immunosuppression in the treatment of severe autoimmune disease (AD) is routine. Experience ranges from the use of established regimens of cyclophosphamide and prednisone in Wegener's granulomatosis (WG) and renal systemic lupus erythematosus (SLE), to anecdotal or experimental modalities in rarer disorders.

A common theme running through these experiences is the failure of `conventional' immunosuppression to control a life- or vital organ-threatening immunologically mediated event, and a lack of proven alternatives. Another recurring problem is the limitation of bone marrow toxicity related to the intensity of immunosuppression.

Recent developments in haemopoietic stem cell transplantation (HSCT) have brought a level of safety which allows it to be considered as a therapeutic option for AD treatment . . . [Full Text of this Article]

Bone marrow transplantation

Coincident autoimmune disease and BMT

Bone marrow transplantation for autoimmune disease alone

Outcome

Summary

References


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W. Kuis, N. M. Wulffraat, and R. E. Petty
Autologous stem cell transplantation: an alternative for refractory juvenile chronic arthritis
Rheumatology, August 1, 1999; 38(8): 737 - 738.
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