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[Survival analysis of hematopoietic stem cell transplantation in children with primary immunodeficiency in Spain.]
[severe combined immunodeficiency]
Children
with
primary
immunodeficiency
have
severe
life-threatening
infections
and
a
higher
prevalence
of
autoimmune
problems
,
allergy
and
lymphoproliferative
disorders
.
Allogenic
hematopoietic
stem
cell
transplantation
has
been
the
only
potentially
curative
option
.
Patients
with
primary
immunodeficiency
underwent
allogenic
stem
cell
transplantation
in
the
period
1985
-
2011
,
and
registered
in
the
Spanish
Working
Party
for
Bone
Marrow
Transplantation
in
Children
.
One
hundred
and
fifty
nine
patients
underwent
173
allogenic
stem
cell
transplantations
,
of
whom
97
had
severe
combined
immunodeficiency
,
30
with
immune
dysregulation
disorders
,
25
Wiskott-
Aldrich
syndrome
,
and
21
phagocyte
disorders
.
The
median
patient
age
at
diagnosis
was
6
months
(
range
:
17
days
-
168
months
)
and
the
median
patient
age
at
transplant
was
12
months
(
range
:
1
month
-
189
months
)
.
The
donors
were
30
(
19
%
)
identical
siblings
,
40
(
25
%
)
alternative
family
donors
,
and
89
(
56
%
)
unrelated
donors
.
The
source
of
stem
cells
was
bone
marrow
in
68
(
43
%
)
,
cord
blood
in
52
(
33
%
)
,
and
peripheral
blood
in
39
(
24
%
)
.
Ninety
eight
(
61
.
6
%
)
are
alive
,
57
(
35
.
9
%
)
died
.
Event-free
survival
at
10
years
was
63
%
,
with
90
%
for
children
transplanted
from
identical
siblings
,
36
%
for
those
transplanted
from
alternative
family
donors
,
and
66
%
for
those
transplanted
from
unrelated
donors
.
The
best
results
have
been
obtained
with
identical
siblings
,
but
other
options
may
be
considered
.
Diseases
Validation
Diseases presenting
"peripheral blood"
symptom
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
aniridia
cohen syndrome
congenital toxoplasmosis
cutaneous mastocytosis
erdheim-chester disease
esophageal adenocarcinoma
esophageal squamous cell carcinoma
familial mediterranean fever
gm1 gangliosidosis
junctional epidermolysis bullosa
lamellar ichthyosis
monosomy 21
oligodontia
omenn syndrome
scrub typhus
severe combined immunodeficiency
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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