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Volume 329:1623-1625 November 25, 1993 Number 22
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Correction of X-Linked Lymphoproliferative Disease by Transplantation of Cord-Blood Stem Cells
Marcus R. Vowels, Reg Lam-Po-Tang, Vasili Berdoukas, David Ford, Dominique Thierry, David Purtilo, and Eliane Gluckman

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X-linked lymphoproliferative disease is characterized by vulnerability to diseases induced by the Epstein-Barr virus, including life-threatening infectious mononucleosis, hypogammaglobulinemia, aplastic anemia, and B-cell non-Hodgkin's lymphoma. It is uniformly fatal by the age of 40 years1.

Bone marrow transplantation has the potential to correct this defect and has been performed with HLA-matched family members or unrelated persons as donors. One patient had a return of serum IgG1 and IgG3 concentrations to normal but died of an adenovirus infection 84 days after bone marrow transplantation2. Two other patients died 23 and 60 days after bone marrow transplantation as a result . . . [Full Text of this Article]

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From the Departments of Haematology, Oncology, and Bone Marrow Transplantation, Prince of Wales Children's Hospital, Sydney, Australia (M.R.V., R.L.-P.-T., V.B., D.F.); the University of New South Wales, Sydney, Australia (M.R.V.); the Institut de Protection et de Surete Nucleaire, Paris (D.T.); the Departments of Pathology and Microbiology, University of Nebraska Medical Center, Omaha (D.P.); and the Hopital Saint Louis, Paris (E.G.). David Purtilo, M.D., is deceased.

Address reprint requests to Professor Vowels at the Prince of Wales Children's Hospital, Randwick, 2031, NSW, Australia.

References


Related Letters:

Correction of X-Linked Lymphoproliferative Disease by Stem-Cell Transplantation
Ende M., Ende F. I., Vowels M. R., Duffy B., Lam-Po-Tang R., Ford D.
Extract | Full Text  
N Engl J Med 1994; 330:1159, Apr 21, 1994. Correspondence

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