Aplastic Anemia: First-line Treatment by Immunosuppression and Sibling Marrow Transplantation

Jakob R. Passweg*, Judith Marsh

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    68 Citations (Scopus)

    Abstract

    Newly diagnosed aplastic anemia is a serious condition, with more than 75% (higher in young patients) becoming long-term survivors if diagnosed and treated appropriately. First-line treatment approaches include immunosuppressive treatment using the combination of antithymocyte globulin and cyclosporine A for patients without a sibling donor and HLA identical sibling transplant for patients younger than age 40 with a donor. Best transplant strategies have been defined and include conditioning with cyclophosphamide and antithymocyte globulin, marrow as a stem cell source, and graft-versus-host diease prophylaxis using cyclosporine A and methotrexate. It is against these standard treatment approaches that any therapeutic progress has to be measured.

    Original languageEnglish
    Pages (from-to)36-42
    Number of pages7
    JournalHematology-American society hematology education program
    Volume2010
    Issue number1
    DOIs
    Publication statusPublished - 4 Dec 2010

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