同種骨髄移植後にびまん性肺胞出血を呈した1例

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タイトル別名
  • Diffuse Alveolar Hemorrhage after Allogeneic Bone Marrow Transplantation.

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A 44-year-old woman with malignant T-cell lymphoma and secondary leukemia recieved an allogeneic bone marrow transplant (BMT). She had received BMT conditioning treatment with total body irradiation and chemotherapy. Hemoptysis and progressive dyspnea developed 11 days after the transplant. A chest roentgenogram showed bilateral diffuse infiltrates. Bronchoalveolar lavage fluid was bloody, and diffuse alveolar hemorrhage (DAH) was diagnosed. Respiratory failute progressed despite mechanical ventilation and administration of corticosteroids. The patient died 58 days after the transplant DAH after BMT has been recognized in western countries as a syndrome with high mortality. We draw attention to the fact that DAH is a serious early pulmonary complication of BMT also in Japan.

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