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- HARADA Mine
- Blood Transfusion Section, Kanazawa University School of Medicine
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- KITAO Takeshi
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- SUGIYAMA Tatsuro
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- KODO Hideki
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- OTAKE Shigeki
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- OKAFUJI Kazuhiro
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- YOSHIDA Takashi
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- FUNADA Hisashi
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- TSUKUDA Koji
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- ISHINO Chizuko
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- MORI Takao
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- FUJITA Shinichi
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- ISHIZAKI Takeshi
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- NIWA Kazuo
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- MITAMURA Eiichi
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- MATSUE Kosei
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- HISADA Tomoichiro
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- NAKAMURA Shinobu
- Third Department of Internal Medicine, Kanazawa University School of Medicine
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- HATTORI Kenichi
- Third Department of Internal Medicine, Kanazawa University School of Medicine
Bibliographic Information
- Other Title
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- 再生不良性貧血に対する同系および同種骨髄移植の試み
- サイセイ フリョウセイ ヒンケツ ニ タイスル ドウケイ オヨビ ドウシュ コツズイ イショク ノ ココロミ
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Abstract
Isogeneic or allogeneic bone marrow transplantation was tried for the treatment of three cases with aplastic anemia. Case 1, a 19-year-old woman, was infused twice with 2.8×109 and 4.25×109 bone marrow cells respectively from her healthy identical twin. However, post-transplantation recovery in hematologic values was not observed. Case 2, a 10-year-old boy, also received an isogeneic graft twice from his identical twin. In spite of grafting an adequate dose of marrow cells (3.5×108/kg) and a transient increase in reticulocyte count, a complete hemopoietic recovery was not obtained. Therefore, there is a possibility that stem cell replacement might be ineffective in these cases. Case 3, a 28-year-old woman, was found to be compatible in ABO and HLA-A, B, D. Then, allogeneic marrow grafting was carried out by infusing 13.6×109 cells from one of these HLA-identical and MLC-nonreactive siblings with the use of an isolation room and the sterilizing regimen (“GVN”). Although both engraftment and GVHD were not observed, a febrile episode was treated by antibiotics and granulocyte transfusions, and hemopoiesis recovered to the pretransplantation level after three months. This case suggests that sterilization and intensive supportive therapy may be of primary importance for lifethreatening myelosuppression by high-dose chemotherapy. In addition, major histocompatibility complex and immune mechanism in aplastic anemia were discussed in association with bone marrow transplantation.
Journal
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- Rinsho Ketsueki
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Rinsho Ketsueki 19 (11), 1509-1518, 1978
The Japanese Society of Hematology
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Details 詳細情報について
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- CRID
- 1390282680012558208
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- NII Article ID
- 130004917684
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- NII Book ID
- AN00252940
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- COI
- 1:STN:280:CSaC3M3islw%3D
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- ISSN
- 18820824
- 04851439
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- NDL BIB ID
- 2075237
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- PubMed
- 368376
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed