TY - JOUR
T1 - Intra-Mesenteric Artery Steroid Administration Relieved Severe Refractory Gastro-Intestinal Graft-Vs.-Host Disease in an Allogeneic Bone Marrow Transplantation Patient
AU - Sato, Tsutomu
AU - Sakamaki, Sumio
AU - Nagaoka, Yasuhiro
AU - Kuribayashi, Kageaki
AU - Nagamachi, Yasuhiro
AU - Morii, Kazuhiro
AU - Honma, Hisato
AU - Kogawa, Katsuhisa
AU - Kato, Junji
AU - Niitsu, Yoshiro
PY - 1997/12
Y1 - 1997/12
N2 - We report a case of severe gastro-intestinal (G-I) gratt-vs.-host disease (GVHD) successfully treated with intra-mesenteric artery steroid administration. A 29-year-old man with severe aplastic anemia (SAA) was submitted to HLA-identical unrelated allogeneic bone marrow transplantation (BMT) and was found to be suffering from grade IV G-I GVHD. Although cyclosporine, steroid pulse therapy, and FK506 proved ineffective, 30 mg of water-soluble prednisolone as administered into each the superior and inferior mesenteric artery with remarkable effects. This treatment was repeated two times, and the symptoms of G-I GVHD disappeared completely.
AB - We report a case of severe gastro-intestinal (G-I) gratt-vs.-host disease (GVHD) successfully treated with intra-mesenteric artery steroid administration. A 29-year-old man with severe aplastic anemia (SAA) was submitted to HLA-identical unrelated allogeneic bone marrow transplantation (BMT) and was found to be suffering from grade IV G-I GVHD. Although cyclosporine, steroid pulse therapy, and FK506 proved ineffective, 30 mg of water-soluble prednisolone as administered into each the superior and inferior mesenteric artery with remarkable effects. This treatment was repeated two times, and the symptoms of G-I GVHD disappeared completely.
KW - Graft vs. host disease
KW - Intraarterial injection
KW - Steroid
KW - Therapy
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=0031436374&partnerID=8YFLogxK
U2 - 10.1002/(SICI)1096-8652(199712)56:4<277::AID-AJH14>3.0.CO;2-6
DO - 10.1002/(SICI)1096-8652(199712)56:4<277::AID-AJH14>3.0.CO;2-6
M3 - 学術論文
C2 - 9395192
AN - SCOPUS:0031436374
SN - 0361-8609
VL - 56
SP - 277
EP - 280
JO - American Journal of Hematology
JF - American Journal of Hematology
IS - 4
ER -