Transmission of lupus anticoagulant by allogeneic stem cell transplantation
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista brasileira de hematologia e hemoterapia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842014000400287 |
Resumo: | Passive transmission of autoimmune diseases by allogeneic stem cell transplantation is rare and is ascribed to passive transfer of memory B-cells from donor to recipient. We hereby report a case of transmission of an asymptomatic lupus anticoagulant from a sibling donor to a recipient of transplantation for secondary acute myeloid leukemia. On pre-harvest evaluation, the sibling donor with no history of bleeding or thrombosis was found to have a lupus anticoagulant. After engraftment, the recipient was found to have a new prolonged activated partial thromboplastin time and was subsequently shown to have a lupus anticoagulant on Day +73 after stem cell transplantation. The recipient remained well with no evidence of bleeding, thrombosis, or graft-versus-host disease and was on a stable dose of tacrolimus at the time the lupus anticoagulant was detected. There was no other identifiable trigger for the appearance of a lupus anticoagulant. |
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Revista brasileira de hematologia e hemoterapia (Online) |
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Transmission of lupus anticoagulant by allogeneic stem cell transplantationAllogeneic stem cell transplantationLupus anticoagulantActivated partial thromboplastin timePassive transmission of autoimmune diseases by allogeneic stem cell transplantation is rare and is ascribed to passive transfer of memory B-cells from donor to recipient. We hereby report a case of transmission of an asymptomatic lupus anticoagulant from a sibling donor to a recipient of transplantation for secondary acute myeloid leukemia. On pre-harvest evaluation, the sibling donor with no history of bleeding or thrombosis was found to have a lupus anticoagulant. After engraftment, the recipient was found to have a new prolonged activated partial thromboplastin time and was subsequently shown to have a lupus anticoagulant on Day +73 after stem cell transplantation. The recipient remained well with no evidence of bleeding, thrombosis, or graft-versus-host disease and was on a stable dose of tacrolimus at the time the lupus anticoagulant was detected. There was no other identifiable trigger for the appearance of a lupus anticoagulant.Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular2014-08-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842014000400287Revista Brasileira de Hematologia e Hemoterapia v.36 n.4 2014reponame:Revista brasileira de hematologia e hemoterapia (Online)instname:Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC)instacron:ABHHTC10.1016/j.bjhh.2014.05.008info:eu-repo/semantics/openAccessMassoud,Mira RomanyWilliam,Basem M.Harrill,KatrinaCooper,Brenda WimpfheimerLima,Marcos deSchmaier,Alvin H.eng2015-09-22T00:00:00Zoai:scielo:S1516-84842014000400287Revistahttp://www.rbhh.org/pt/archivo/https://old.scielo.br/oai/scielo-oai.phpsbhh@terra.com.br||secretaria@rbhh.org1806-08701516-8484opendoar:2015-09-22T00:00Revista brasileira de hematologia e hemoterapia (Online) - Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC)false |
dc.title.none.fl_str_mv |
Transmission of lupus anticoagulant by allogeneic stem cell transplantation |
title |
Transmission of lupus anticoagulant by allogeneic stem cell transplantation |
spellingShingle |
Transmission of lupus anticoagulant by allogeneic stem cell transplantation Massoud,Mira Romany Allogeneic stem cell transplantation Lupus anticoagulant Activated partial thromboplastin time |
title_short |
Transmission of lupus anticoagulant by allogeneic stem cell transplantation |
title_full |
Transmission of lupus anticoagulant by allogeneic stem cell transplantation |
title_fullStr |
Transmission of lupus anticoagulant by allogeneic stem cell transplantation |
title_full_unstemmed |
Transmission of lupus anticoagulant by allogeneic stem cell transplantation |
title_sort |
Transmission of lupus anticoagulant by allogeneic stem cell transplantation |
author |
Massoud,Mira Romany |
author_facet |
Massoud,Mira Romany William,Basem M. Harrill,Katrina Cooper,Brenda Wimpfheimer Lima,Marcos de Schmaier,Alvin H. |
author_role |
author |
author2 |
William,Basem M. Harrill,Katrina Cooper,Brenda Wimpfheimer Lima,Marcos de Schmaier,Alvin H. |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Massoud,Mira Romany William,Basem M. Harrill,Katrina Cooper,Brenda Wimpfheimer Lima,Marcos de Schmaier,Alvin H. |
dc.subject.por.fl_str_mv |
Allogeneic stem cell transplantation Lupus anticoagulant Activated partial thromboplastin time |
topic |
Allogeneic stem cell transplantation Lupus anticoagulant Activated partial thromboplastin time |
description |
Passive transmission of autoimmune diseases by allogeneic stem cell transplantation is rare and is ascribed to passive transfer of memory B-cells from donor to recipient. We hereby report a case of transmission of an asymptomatic lupus anticoagulant from a sibling donor to a recipient of transplantation for secondary acute myeloid leukemia. On pre-harvest evaluation, the sibling donor with no history of bleeding or thrombosis was found to have a lupus anticoagulant. After engraftment, the recipient was found to have a new prolonged activated partial thromboplastin time and was subsequently shown to have a lupus anticoagulant on Day +73 after stem cell transplantation. The recipient remained well with no evidence of bleeding, thrombosis, or graft-versus-host disease and was on a stable dose of tacrolimus at the time the lupus anticoagulant was detected. There was no other identifiable trigger for the appearance of a lupus anticoagulant. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842014000400287 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842014000400287 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjhh.2014.05.008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular |
publisher.none.fl_str_mv |
Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular |
dc.source.none.fl_str_mv |
Revista Brasileira de Hematologia e Hemoterapia v.36 n.4 2014 reponame:Revista brasileira de hematologia e hemoterapia (Online) instname:Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC) instacron:ABHHTC |
instname_str |
Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC) |
instacron_str |
ABHHTC |
institution |
ABHHTC |
reponame_str |
Revista brasileira de hematologia e hemoterapia (Online) |
collection |
Revista brasileira de hematologia e hemoterapia (Online) |
repository.name.fl_str_mv |
Revista brasileira de hematologia e hemoterapia (Online) - Associação Brasileira de Hematologia e Hemoterapia e Terapia Celular (ABHHTC) |
repository.mail.fl_str_mv |
sbhh@terra.com.br||secretaria@rbhh.org |
_version_ |
1754213112367546368 |