Rejection of the second allogeneic graft in a child with Fanconi anemia reversed by antilymphocyte globulin and donor lymphocyte infusion

Hematol J. 2003;4(6):452-3. doi: 10.1038/sj.thj.6200330.

Abstract

Rejection after allogeneic bone marrow transplantation for Fanconi anemia (FA) is a complication with a high risk of mortality. We describe a patient who, following a second episode of rejection after a second allogeneic stem cell transplantation, was successfully treated with antilymphocyte globulin, followed by donor lymphocyte infusion. At three and a half years after donor lymphocyte infusion, she is alive with a Karnofsky score of 90%. Her molecular chimerism is of donor origin. Thus, donor lymphocyte infusion can be considered as a therapy option for rejection after allogeneic bone marrow transplantation for FA.

Publication types

  • Case Reports

MeSH terms

  • Antilymphocyte Serum / therapeutic use*
  • Child
  • Fanconi Anemia / therapy*
  • Female
  • Graft Rejection / immunology*
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Living Donors
  • Lymphocyte Transfusion*
  • Transplantation, Homologous
  • Treatment Outcome

Substances

  • Antilymphocyte Serum
  • Immunosuppressive Agents