Summary:
A 55-year-old female with standard risk AML in second CR received an allogenic transplant from an HLA-matched sibling, using a nonmyeloablative conditioning regimen (NMST). On day +139, she rejected her graft with autologous reconstitution. She received a second NMST from a different HLA-matched sibling with an identical conditioning regimen and immunosuppression. On day +110, she rejected the second graft, with autologous reconstitution with blasts. She received a third allograft from the first sibling with a myeloablative busulfan-based conditioning regimen. She is now day +270, in CR, with full donor chimerism.
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Papineschi, F., Benedetti, E., Galimberti, S. et al. A myeloablative allograft after rejection of two consecutive nonmyeloablative transplants from two different HLA identical siblings. Bone Marrow Transplant 33, 659–660 (2004). https://doi.org/10.1038/sj.bmt.1704356
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DOI: https://doi.org/10.1038/sj.bmt.1704356