Intravascular hemolysis and renal insufficiency after bone marrow transplantation.

Abstract:

:Renal disease has not been considered a major late complication of bone marrow transplantation. Of 31 evaluable pediatric patients undergoing allogeneic or autologous bone marrow transplantation for neuroblastoma or acute lymphoblastic leukemia, 14 developed a hemolytic anemia, microscopic hematuria, and renal insufficiency at a median of 5 months (range, 3 to 7 months) posttransplant. Renal biopsies were performed in two patients at the onset of kidney disease and showed mesangiolysis with intraglomerular capillary aneurysm formation, mesangial proliferation, and focal thickening and splitting of the glomerular basement membranes. The clinical presentation, time to onset of renal disease, and biopsy material are consistent with a diagnosis of radiation nephritis, a previously uncommon finding in this patient group. The high incidence of this syndrome in the current report may have been due to the combination of intensive chemotherapy and total-body irradiation in the conditioning regimens.

journal_name

Blood

journal_title

Blood

authors

Guinan EC,Tarbell NJ,Niemeyer CM,Sallan SE,Weinstein HJ

subject

Has Abstract

pub_date

1988-08-01 00:00:00

pages

451-5

issue

2

eissn

0006-4971

issn

1528-0020

journal_volume

72

pub_type

杂志文章

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