Abstract:
AIM:Inborn errors of immunity (IEI) comprise a heterogeneous group of disorders of the immune system, most of which are curable by haematopoietic stem cell transplantation (HSCT). We present a 25-year audit of HSCT for IEI at a tertiary-level academic hospital in Malaysia. METHODS:Review of medical records of all cases of IEI who underwent HSCT between January 1993 and December 2018 at our centre. Diagnoses, complications, HSCT protocols and outcome data were studied. RESULTS:There were 20 patients (19 boys) with a median age at diagnosis of 11 months (range: 2 months to 12 years). Eleven of 19 (58%) had malnutrition at presentation. Donor sources were variable: 13 (65%) matched sibling donor (MSD), 4 (20%) human leukocyte antigen-haploidentical donor (HD) and 3 (15%) matched unrelated donor (MUD). Conditioning regimens were physician-dependent and adapted to each patient's clinical status. Grades III-IV acute graft-versus-host disease occurred in two of three cases who received MUD grafts, 50% in those who received HD, and 8% in the MSD group. Transplant-related mortality at day +100 was 5%. With a median follow-up of 7.5 years, 18 (90%) patients are alive and free of infections. CONCLUSION:Outcome of HSCT for IEI in our centre is comparable with international reports. HSCT results using HD and MUD grafts are also good despite challenges from acute graft-versus-host disease, providing a feasible alternative for patients without matched donors.
journal_name
J Paediatr Child Healthjournal_title
Journal of paediatrics and child healthauthors
Ariffin H,Ab Rahman S,Jawin V,Foo JC,Amram NF,Mahmood NM,Yap TY,Rajagopal R,Lum SH,Chan LL,Lin HPdoi
10.1111/jpc.14621subject
Has Abstractpub_date
2020-03-01 00:00:00pages
379-383issue
3eissn
1034-4810issn
1440-1754journal_volume
56pub_type
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journal_title:Journal of paediatrics and child health
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journal_title:Journal of paediatrics and child health
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journal_title:Journal of paediatrics and child health
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doi:10.1111/j.1440-1754.1996.tb00939.x
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journal_title:Journal of paediatrics and child health
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journal_title:Journal of paediatrics and child health
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journal_title:Journal of paediatrics and child health
pub_type: 杂志文章,评审
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journal_title:Journal of paediatrics and child health
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doi:10.1046/j.1440-1754.2001.00695.x
更新日期:2001-08-01 00:00:00
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journal_title:Journal of paediatrics and child health
pub_type: 杂志文章,评审
doi:10.1111/jpc.13325
更新日期:2016-10-01 00:00:00
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journal_title:Journal of paediatrics and child health
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doi:10.1111/j.1440-1754.1992.tb02636.x
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abstract:OBJECTIVE:To document the pattern and sequelae of invasive pneumococcal infection in hospitalized children. METHODOLOGY:Retrospective review of Streptococcus pneumoniae (Sp) isolates from normally sterile sites from 1981 to 1992 at three paediatric centres in Sydney for demographic data, spectrum of disease, predispos...
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journal_title:Journal of paediatrics and child health
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journal_title:Journal of paediatrics and child health
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doi:10.1111/j.1440-1754.1992.tb02730.x
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