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Total lymphoid irradiation and cyclophosphamide as preparation for bone
marrow transplantation in severe aplastic anemia
NK Ramsay, T Kim, ME Nesbit, W Krivit, PF Coccia, SH Levitt, WG Woods and JH Kersey
A new combination of total lymphoid irradiation and cyclophosphamide was
used prior to bone marrow transplantation in an attempt to achieve
decreased rejection rates and graft-versus-host disease. Nine previously
transfused patients with severe aplastic anemia received marrow from an
HLA-identical, MLC-compatible sibling following this preparative regimen.
There were no episodes of graft rejection, and only one patient developed
graft-versus-host disease. Of the 9 patients, 7 (78%) are surviving with a
median follow-up of 400 days. The excellent results of this pretransplant
combination of total lymphoid irradiation and cyclophosphamide warrants
application of this regimen to a larger series of patients.
Volume 55,
Issue 2,
pp. 344-346,
02/01/1980
Copyright © 1980 by The American Society of Hematology

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