scholarly journals Central nervous system complications caused by 3-4 grade aGVHD in adult patients occurred in HLA-mismatched recipients majorly after allogeneic hematopoietic stem cell transplantation

2019 ◽  
Vol 54 (7) ◽  
pp. 1155-1157 ◽  
Author(s):  
Peng Ke ◽  
Xiebing Bao ◽  
Huiying Qiu ◽  
Juan Zhuang ◽  
Xiaohui Hu ◽  
...  
2019 ◽  
Vol 142 (4) ◽  
pp. 217-223
Author(s):  
Peng Ke ◽  
Xiebing Bao ◽  
Jihao Zhou ◽  
Qian Zhu ◽  
Juan Zhuang ◽  
...  

Central nervous system complications (CNSCs) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) are common and may be a significant source of morbidity and mortality. We performed a retrospective study of 153 pediatric patients who underwent allo-HSCT to determine CNSC type, incidence, and impact on survival. A total of 34 patients (22.2%) developed CNSCs. The cumulative incidence of CNSCs at 100 days and 3 years was 18.30 and 22.73%, respectively. The most common CNSC was calcineurin inhibitor (CNI)-associated neurotoxicity (50.0%). Risk factors for CNSCs were the time from diagnosis to HSCT ≥4.8 months (p = 0.032) and the development of acute graft-versus-host disease (aGVHD) grade III–IV (p = 0.002). CNSCs after allo-HSCT negatively impacted overall survival (hazard ratio [HR] 1.97, p = 0.043) and nonrelapse mortality (HR 4.84, p < 0.001). In conclusion, CNSCs after allo-HSCT are associated with poor outcomes; patients with severe aGVHD and/or late transplantation should be given more attention.


Haematologica ◽  
2019 ◽  
Vol 105 (4) ◽  
pp. e160-e163 ◽  
Author(s):  
Thomas Mika ◽  
Swetlana Ladigan ◽  
Alexander Baraniskin ◽  
Deepak Vangala ◽  
Sabine Seidel ◽  
...  

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