CD4+ T lymphocyte counts after autologous transplantation in multiple myeloma: a retrospective study.

Abstract:

:The risk for opportunistic infections is correlated with low CD4+ T lymphocyte counts in patients with HIV. We performed a retrospective analysis in 54 patients with multiple myeloma undergoing high-dose melphalan chemotherapy + autologous peripheral blood stem cell transplantation to better define the value of routine control of CD4+ T lymphocyte counts in this important patient group. In 61% of our patients, CD4+ T lymphocyte counts after recovery from neutropenia were <200/microl and <100/microl in 24% (median = 181/microl). Overall survival, progression-free survival, response to antineoplastic therapy and frequency of post-transplant infections were not significantly different when patients with CD4+ T lymphocyte counts <200/microl and >200/microl were compared. However, overall survival was significantly shorter in the subgroup of 13 patients with very low CD4+ T lymphocyte counts (<100/microl) (P = 0.036). In 79.6% of all patients, at least one infection NCI-CTC grade II - IV developed within 100 days post-transplant. Opportunistic infections were rare. This analysis suggests that patients with CD4+ T lymphocyte counts < 100/microl may have a poorer prognosis.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Gorschlüter M,Glasmacher A,Sarazin S,Hackbarth F,Hoebert E,Orlopp K,Schmidt-Wolf IG,Mey U

doi

10.1080/10428190601094347

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

506-12

issue

3

eissn

1042-8194

issn

1029-2403

pii

773540414

journal_volume

48

pub_type

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