Refractory ascites developing in late-phase of cord blood transplantation improving with CART

We managed a patient with acute myeloid leukemia (AML) who showed refractory ascites that developed in late-phase cord blood transplantation (CBT). The ascites obverted 5 months after CBT. The liver was atrophic, and serum hyaluronic acid was elevated at the onset, suggesting fibrotic changes in the liver. The ascites were transiently improved by cell-free and concentrated ascites reinfusion therapy (CART) and corticosteroid administration; however, the patient died from anasarca and recurrent AML 378 d after CBT. The etiology of the ascites is not well understood; therefore, additional studies on similar patients should be explored for proper management.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:60

Enthalten in:

Rinsho ketsueki] The Japanese journal of clinical hematology - 60(2019), 2 vom: 15., Seite 130-133

Sprache:

Japanisch

Beteiligte Personen:

Hiroi, Takayuki [VerfasserIn]
Mushino, Toshiki [VerfasserIn]
Tanaka, Ken [VerfasserIn]
Yamashita, Yusuke [VerfasserIn]
Kuriyama, Kodai [VerfasserIn]
Murata, Shogo [VerfasserIn]
Furuya, Yoshiaki [VerfasserIn]
Hori, Yoshikazu [VerfasserIn]
Oiwa, Takehiro [VerfasserIn]
Kobata, Hiroshi [VerfasserIn]
Hosoi, Hiroki [VerfasserIn]
Nishikawa, Akinori [VerfasserIn]
Tamura, Shinobu [VerfasserIn]
Sonoki, Takashi [VerfasserIn]

Links:

Volltext

Themen:

Ascites
CART
CBT
Case Reports
Journal Article

Anmerkungen:

Date Completed 14.08.2019

Date Revised 14.08.2019

published: Print

Citation Status MEDLINE

doi:

10.11406/rinketsu.60.130

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM294663495