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Successful unrelated bone marrow transplantation for Shwachman–Diamond syndrome

Bone Marrow Transplantation volume 27, pages 97–99 (2001)Cite this article

Abstract

A 5-year-old boy with Shwachman–Diamond syndrome underwent unrelated HLA-identical bone marrow transplantation for severe pancytopenia. Conditioning was with busulfan, thiotepa and cyclophosphamide plus rabbit anti-lymphocyte serum. Engraftment for neutrophils and platelets was observed on days +18 and +41, respectively. Transplant-related side-effects were mild and transient. After a follow-up of 32 months, the patient is alive and enjoys a normal life, off any immunosuppressives. Immunological and hematological reconstitution is complete while other phenotypic characteristics (pancreatic insufficiency, short stature, femur dysostosis) are stable. Although experience in this field is scarce, we speculate that bone marrow failure in Shwachman–Diamond syndrome (even if not linked to the appearance of clonal disorders or leukemic transformation) is an indication for bone marrow transplantation and may be associated with a better outcome. Bone Marrow Transplantation (2001) 27, 97–99.

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Authors and Affiliations

  1. Paediatric Oncology-Hematology Clinic, University of Padova, Italy

    S Cesaro, E Calore, MV Gazzola, R Destro, S Varotto, L Zanesco & C Messina

  2. Department of Pediatrics, I Clinic of Pediatrics, University of Padova, Italy

    G Guariso

Authors
  1. S Cesaro
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  2. G Guariso
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  3. E Calore
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  4. MV Gazzola
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  5. R Destro
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  6. S Varotto
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  7. L Zanesco
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  8. C Messina
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Cesaro, S., Guariso, G., Calore, E. et al. Successful unrelated bone marrow transplantation for Shwachman–Diamond syndrome. Bone Marrow Transplant 27, 97–99 (2001). https://doi.org/10.1038/sj.bmt.1702732

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  • DOI: https://doi.org/10.1038/sj.bmt.1702732

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