Kidney transplantation for end-stage renal disease after third allogeneic hematopoietic stem cell transplantation for Philadelphia chromosome-positive acute lymphoblastic leukemia

An 18-year-old man underwent allogenic bone marrow transplantation (BMT) for Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ALL). Ph+ALL relapsed 3 months after the first BMT, and the patient underwent a second BMT. However, Ph+ALL relapsed 4 months after the second BMT, and he received a haploidentical peripheral blood stem cell transplantation (haplo-PBSCT) from his father. Molecular complete remission was confirmed 29 days after haplo-PBSCT. However, the patient needed dialysis for end-stage renal disease due to thrombotic microangiopathy 3 years and 2 months after haplo-PBSCT. He received a kidney transplantation from his father 7 years and 10 months after haplo-PBSCT, and got off dialysis after the kidney transplantation. Immunosuppressive therapy with methylprednisolone, tacrolimus, and mycophenolate mofetil was started for kidney transplantation, but the dose of immunosuppressive agents was reduced successfully without rejection soon after kidney transplantation. The patient has maintained long-term remission since the haplo-PBSCT, and his kidney function was restored by the kidney transplantation from his father.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:65

Enthalten in:

Rinsho ketsueki] The Japanese journal of clinical hematology - 65(2024), 1 vom: 02., Seite 7-12

Sprache:

Japanisch

Beteiligte Personen:

Nishijima, Akihiko [VerfasserIn]
Shingai, Naoki [VerfasserIn]
Ohta, Akihito [VerfasserIn]
Suda, Kiyoko [VerfasserIn]
Omoto, Kazuya [VerfasserIn]
Ishida, Shinya [VerfasserIn]
Yoshioka, Kosuke [VerfasserIn]
Kurosawa, Shuhei [VerfasserIn]
Hino, Yutaro [VerfasserIn]
Senoo, Yasushi [VerfasserIn]
Igarashi, Aiko [VerfasserIn]
Oshikawa, Gaku [VerfasserIn]
Hamamura, Atsushi [VerfasserIn]
Toya, Takashi [VerfasserIn]
Shimizu, Hiroaki [VerfasserIn]
Najima, Yuho [VerfasserIn]
Kobayashi, Takeshi [VerfasserIn]
Haraguchi, Kyoko [VerfasserIn]
Okuyama, Yoshiki [VerfasserIn]
Ohashi, Kazuteru [VerfasserIn]
Doki, Noriko [VerfasserIn]

Links:

Volltext

Themen:

Allogeneic hematopoietic stem cell transplantation
Case Reports
Dialysis
English Abstract
Journal Article
Kidney transplantation
Renal failure

Anmerkungen:

Date Completed 12.02.2024

Date Revised 12.02.2024

published: Print

Citation Status MEDLINE

doi:

10.11406/rinketsu.65.7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368192539