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Graft-versus-Host Disease

Major salivary gland damage in allogeneic hematopoietic progenitor cell transplantation assessed by scintigraphic methods

Abstract

Salivary gland dysfunction is a common sequela of hematopoietic progenitor cell transplantation (HPCT). The investigation of major salivary gland dysfunction with sodium pertechnetate scintigraphy is a non-invasive method that provides images of the parotid and submandibular glands. In this prospective trial, 20 HPCT patients were submitted to scintigraphic study with 99mTc-pertechenate and 67Ga in order to evaluate the major salivary glands early involvement following HPCT. Major salivary glands were evaluated prior to HCPT as well as at Days +30, +60 and +100 post transplant. Major salivary glands uptake and clearance of 99mTc-pertechenate results did not demonstrate any functional differences between pre- versus post transplant periods. Results of the 67Ga scan revealed inflammatory infiltration following HPCT, primarily in submandibular glands, suggest a persistent involvement of major salivary glands up to Day +100 after HPCT.

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Acknowledgements

We gratefully acknowledge the support and contributions of the staff of the Nuclear Medicine Service of University Hospital – Campinas State University, HPCT Unit. The expert data management by Mrs Eliana Miranda and Mrs Amanda Margelo is also sincerely appreciated. This study was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo-FAPESP-(The State of São Paulo Research Foundation) proc. 00/12188-4.

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Correspondence to C A De Souza.

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Coracin, F., Pizzigatti Correa, M., Camargo, E. et al. Major salivary gland damage in allogeneic hematopoietic progenitor cell transplantation assessed by scintigraphic methods. Bone Marrow Transplant 37, 955–959 (2006). https://doi.org/10.1038/sj.bmt.1705351

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