Prognostic factors of immunosuppressive therapy in children acquired aplastic anemia

OBJECTIVE: To investigate prognostic factors of immunosuppressive therapy (IST) in children acquired severe aplastic anemia(SAA)

Bibliographische Detailangaben
Veröffentlicht in:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 47(2009), 8 vom: 02. Aug., Seite 613-6
1. Verfasser: Wang, Shu-chun (VerfasserIn)
Weitere Verfasser: Chen, Xiao-juan, Zou, Yao, Yang, Wen-yu, Liu, Tian-feng, Zhang, Li, Chen, Yu-mei, Guo, Ye, Zhu, Xiao-fan
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2009
Zugriff auf das übergeordnete Werk:Zhonghua er ke za zhi = Chinese journal of pediatrics
Schlagworte:Journal Article Antilymphocyte Serum Immunosuppressive Agents Cyclosporine 83HN0GTJ6D
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245 1 0 |a Prognostic factors of immunosuppressive therapy in children acquired aplastic anemia 
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500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To investigate prognostic factors of immunosuppressive therapy (IST) in children acquired severe aplastic anemia(SAA) 
520 |a METHODS: Data of 56 consecutive children cases with SAA who had received rabbit anti-thymocyte globulin (R-ATG) [3-5 mg/( kg x d) x 5 d] and cyclosporine A (CSA) from January 2000 to June 2006 were retrospectively analyzed. No repeated courses of R-ATG were given for nonresponders. All the patients also received stanozolol or testosterone propionate. The dose of CSA was adjusted to maintain trough drug levels above 100 microg/L and peak drug levels above 300 microg/L 
520 |a RESULTS: The overall response rate to the immunosuppressive therapy (IST) was 62.5% and the complete remission rate was 37.5%. The 5-year overall survival for IST regimens was 66.27% +/- 6.84%, patients who had infections when using ATG had significantly lower response and higher mortality. Patients whose nucleated erythrocyte population in bone marrow was > or =10% had good prognosis. Patients whose granulocytes population in bone marrow was > or =10% had lower mortality 
520 |a CONCLUSION: Patients who had infections when using ATG had significantly lower response and higher mortality. Patients whose nucleated erythrocyte population in bone marrow was > or =10% had good prognosis 
650 4 |a Journal Article 
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700 1 |a Chen, Xiao-juan  |e verfasserin  |4 aut 
700 1 |a Zou, Yao  |e verfasserin  |4 aut 
700 1 |a Yang, Wen-yu  |e verfasserin  |4 aut 
700 1 |a Liu, Tian-feng  |e verfasserin  |4 aut 
700 1 |a Zhang, Li  |e verfasserin  |4 aut 
700 1 |a Chen, Yu-mei  |e verfasserin  |4 aut 
700 1 |a Guo, Ye  |e verfasserin  |4 aut 
700 1 |a Zhu, Xiao-fan  |e verfasserin  |4 aut 
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