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Disappearance of diffuse calcinosis following autologous stem cell transplantation in a child with autoimmune disease

Summary:

A 12-year-old girl presented with arthritis, myalgia, anemia and positive ANA. Subsequently, she developed recurrent episodes of pulmonary hemorrhage, thrombocytopenia, CNS abnormalities, skin ulcers and diffuse calcinosis. This was followed by secondary antiphospholipid syndrome. Despite vigorous immunosuppression, the patient became bedridden. A peripheral blood stem cell autograft was offered when she developed pulmonary hypertension and digital ischemia at the age of 16 years. The post-transplantation course was uneventful. Liquefaction of calcinosis nodules with improvement of mobility occurred gradually. She is now 24 months post-transplant with no sign of disease activity and total disappearance of calcinosis nodules.

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References

  1. Gratwohl A, Passweg J, Gerber I, Tyndall A . International Stem Cell Project for Autoimmune Diseases. Stem cell transplantation for autoimmune diseases. Best Pract Res Haematol 2001; 14: 755–776.

    Article  CAS  Google Scholar 

  2. Marmont AM . Immunoablation followed or not by hematopoietic stem cells as an intensive therapy for severe autoimmune diseases. New perspective, new problems. Haematologica 2001; 86: 337–345.

    CAS  Google Scholar 

  3. Musso M, Porretto F, Crescimanno A et al. Intense immunosuppressive therapy followed by autologous peripheral blood selected progenitor cell reinfusion for severe autoimmune disease. Am J Hematol 2001; 66: 75–79.

    Article  CAS  Google Scholar 

  4. Tyndall A, Passweg J, Grawohl A . Haemopoietic stem cell transplantation in the treatment of severe autoimmune disease 2000. Ann Rheum Dis 2001; 60: 702–707.

    Article  CAS  Google Scholar 

  5. Burt RK, Slavin S, Burns WH, Marmot AM . Induction of tolerance in autoimmune diseases by hematopoietic stem cell transplantation: getting closer to a cure? Int J Hematol 2002; 76: 226–247.

    Article  Google Scholar 

  6. Fisler RE, Liang MG, Fuhlbrigge RC et al. Aggressive management of juvenile dermatomyositis results in improved outcome and decreased incidence of calcinosis. J Am Acad Dermatol 2002; 47: 505–511.

    Article  Google Scholar 

  7. Mukamel M, Horev G, Mimouni M . New insight into calcinosis of juvenile dermatomyositis: A study of composition and treatment. J Pediatr 2001; 138: 763–766.

    Article  CAS  Google Scholar 

  8. Pachman LM, Liotta-Davis MR, Hong DK et al. TNFalpha-308 A allele in juvenile dermatomyositis: association with increased production of tumor necrosis factor alpha, disease duration, and pathologic calcifications. Arthritis Rheum 2000; 43: 2368–2377.

    Article  CAS  Google Scholar 

  9. Al-Mayouf S, Al-Mazyed A, Bahabri S . Efficacy of early treatment of severe juvenile dermatomyositis with intravenous methylprednisolone and methotrexate. Clin Rheumtol 2000; 19: 138–141.

    Article  CAS  Google Scholar 

  10. Rider LG . Calcinosis in juvenile dermatomyositis: pathogenesis and current therapies. Pediatr Rheumatol, (Online) Apr 2003; 1–23.

Download references

Acknowledgements

The authors thank Mrs M Perlmutter for her help in the preparation of this paper.

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Correspondence to R Elhasid.

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Elhasid, R., Rowe, J., Berkowitz, D. et al. Disappearance of diffuse calcinosis following autologous stem cell transplantation in a child with autoimmune disease. Bone Marrow Transplant 33, 1257–1259 (2004). https://doi.org/10.1038/sj.bmt.1704514

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