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العنوان
The Incidence of CMV Viraemia in Severe Aplastic Anemia Patients with Acute GVHD after Allogeneic Peripheral Blood
Stem Cell Transplantation
/
المؤلف
Metwally ,Mahmoud Elsayed .
هيئة الاعداد
باحث / محمود السيد متولى
مشرف / محمد عثمان عزازى
مشرف / محمد محمود موسي
مشرف / رأفت محمد عبد الفتاح
تاريخ النشر
2016.
عدد الصفحات
193.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - Clinical Haematology
الفهرس
Only 14 pages are availabe for public view

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from 193

Abstract

Background: Aplastic anemia (AA) is defined as pancytopenia with a hypocellular bone marrow in the absence of abnormal infiltration or increased reticulin. Aim of the Work: This retrospective study evaluates the incidence of CMV viraemia in severe aplastic anemia patients who developed acute GVHD after allogeneic SCT in the time period from 2010 to 2015 regarding: The correlation between acute GVHD and the incidence of CMV CMV-related mortality. Disease-free survival (DFS). Overall survival (OS). Patients and Methods: Patients with severe aplastic anemia (SAA) who underwent allogeneic peripheral blood stem cell transplantation (PBSCT) at Nasser institute, in the time period between 2010 and 2015 (5years) were included in the study. Results: In this study 28 patients (27.18 %) developed aGVHD and 11 patients (10.6 %) developed CMV viremia. 6 patients with aGVHD developed CMV viremia (P-value=0.03). Conclusion: In conclusion the use of CMV prophylaxis routinely with new agents with lower toxicity, especially in patients at high risk of CMV replication, might reduce the incidence of CMV replications, reducing so the morbidity and mortality, and according to some studies may also reduce the incidence of aGVHD and its related morbidity and mortality. Recommendations: Further studies are needed to the relationship between CMV and acute GVHD.