Consensus opinion on immune-mediated cytopenias after hematopoietic cell transplant for inherited metabolic disorders.

dc.contributor.author

Gupta, Ashish O

dc.contributor.author

Jan Boelens, Jaap

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Ebens, Christen L

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Kurtzberg, Joanne

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Lund, Troy C

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Smith, Angela R

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Wagner, John E

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Wynn, Robert

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Blazar, Bruce R

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Orchard, Paul J

dc.date.accessioned

2022-03-23T13:29:34Z

dc.date.available

2022-03-23T13:29:34Z

dc.date.issued

2021-06

dc.date.updated

2022-03-23T13:29:34Z

dc.description.abstract

Hematopoietic stem cell transplantation (HCT) has been increasingly used for patients with inherited metabolic disorders (IMD). Immune mediated cytopenias (IMCs) after HCT, manifesting as hemolytic anemia, thrombocytopenia, and/or neutropenia, are recognized as a significant complication in this patient population, yet our understanding of the incidence, risk factors, and pathophysiology is currently limited. Review of the published literature demonstrates a higher incidence in younger patients who undergo HCT for a nonmalignant disease indication. However, a few reports suggest that the incidence is even higher among those with IMD (incidence ranging from 10 to 56%). This review summarizes the literature, provides an approach to better understanding of the possible etiology of IMCs, and proposes a diagnostic and management plan for patients with IMD who develop single or multi-lineage cytopenias after HCT.

dc.identifier

10.1038/s41409-020-01179-5

dc.identifier.issn

0268-3369

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1476-5365

dc.identifier.uri

https://hdl.handle.net/10161/24555

dc.language

eng

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Springer Science and Business Media LLC

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Bone marrow transplantation

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10.1038/s41409-020-01179-5

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Humans

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Thrombocytopenia

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Metabolic Diseases

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Transplantation Conditioning

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Hematopoietic Stem Cell Transplantation

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Consensus

dc.title

Consensus opinion on immune-mediated cytopenias after hematopoietic cell transplant for inherited metabolic disorders.

dc.type

Journal article

duke.contributor.orcid

Kurtzberg, Joanne|0000-0002-3370-0703

pubs.begin-page

1238

pubs.end-page

1247

pubs.issue

6

pubs.organisational-group

Duke

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School of Medicine

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Clinical Science Departments

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Institutes and Centers

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Pathology

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Pediatrics

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Duke Cancer Institute

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Institutes and Provost's Academic Units

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Initiatives

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Duke Innovation & Entrepreneurship

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Pediatrics, Transplant and Cellular Therapy

pubs.publication-status

Published

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56

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