Keywords aplastic anemia, chloramphenicol, mice, shrimps. Pengaruh residu khloramfenikol dalam udang windu terhadap kejadian anemia aplastik pada. Sari Pediatri, Vol. 7, No. 1, Juni Judul: Masalah pada Tata Laksana Anemia Aplastik. Background: Aplastic anemia is a well-recognized form of marrow failure. The incidence of aplastic anemia is subjected to wide variation.

Author: Mazuramar Kehn
Country: Tanzania
Language: English (Spanish)
Genre: Finance
Published (Last): 18 January 2004
Pages: 174
PDF File Size: 19.92 Mb
ePub File Size: 15.50 Mb
ISBN: 379-6-19206-189-8
Downloads: 82296
Price: Free* [*Free Regsitration Required]
Uploader: Zulkishicage

Monosomy 7 has been linked to exogenous use of G-CSF in AA [ 3637 ] and laboratory studies suggest that aneuploid clones expand in an abnormal cytokine milieu rich in G-CSF due to the presence of a aplasstik G-CSF receptor isoform, which signals proliferation but not differentiation [ 38 ].

Mutations in the SBDS gene in acquired aplastic anemia.

Histopathology shows that 30 Erythrocyte form aplastij from the normochrome normocyter initial condition to the mild hypochrome normocyter, mild hypochrome anisocytosis, hypochrome anisocytosis, and subsequently macroerythrocyte dominated hypochrome anisocytosis at the end of the experiment.

Fludarabine, cyclophosphamide and anti-thymocyte globulin for alternative donor tranplants in acquired severe aplastic anemia: H-ATG preparations contain a variety of antibodies recognizing human T-cell epitopes, many directed against activated T-cells or activation antigens [ 4142 ]. Relapse of aplastic anaemia after immunosuppressive treatment: It is suggested to pursue a further research to identify the parameters for non-hazardous chloramphenicol residue in shrimps for it to be safe for human consumption, as well as to determine the proper treatment and processing method to reduce chloramphenicol residue for safe consumption.

The publisher’s final edited version of this article is available at Curr Opin Hematol. Hematopoietic cell destruction by aplastikk mechanisms in aquired aplastic anemia. Treatment of aplastic anemia with antilymphocyte globulin and methylprednisolone with or without cyclosporine.

Interesting changes occ urred at the 30 days durationtreatment where mild hypochrome anisocytosis and hypochromeanisocytosis occurred marked by mildly pale cellular colorizations withcellular forms varying from normal, microerythrocyte, tomacroerythrocyte. Most acquired aplastic anemia AA is the result of immune-mediated destruction of hematopoietic stem cells causing pancytopenia and an empty bone marrow, which can be successfully treated with either immunosuppressive therapy IST or hematopoietic stem-cell transplantation HSCT.


Retreatment with rabbit anti-thymocyte globulin and ciclosporin for patients with relapsed or refractory severe aplastic anaemia. Worse outcome and more chronic GVHD with anemiq blood progenitor cells than bone marrow anemis HLA-matched sibling donor transplants for young patients with severe acquired aplastic anemia.

Hematopoiesis Immune xplastik leads to marrow failure. As the outcome in aplastic patients who have failed a single round of ATG has been poor, alternative sources of hematopoietic appastik cells have been sought, usually from now very large donor registries.

Visit old site Users Online: New England Journal of Medicine. Treatment of severe aplastic anaemia with combined immunosuppression: Please review our privacy policy. An immune response dominated by oligoclonal expanded cytotoxic T-cells targets hematopoietic stem and progenitor cells, inducing their death via apoptosis and hematopoietic failure.

Medical Journal of Lampung University

Long-term outcome after marrow transplantation for severe aplastic anemia. AA patients who develop trisomy 8 usually respond to IST [ 33 ].

Erythrocyte form changed from the normochrome normocyter initialcondition to the mild hypochrome normocyter, mild hypochromeanisocytosis, hypochrome anisocytosisand subsequentlymacroerythrocyte dominated hypochrome anisocytosis at the end ofthe experiment. Mutations in TERT, the gene for telomerase reverse transcriptase, in aplastic anemia.

North American Journal of Medical Sciences. Regulatory T-cells are significantly reduced in patients’ peripheral blood and in an AA murine model, infusion of regulatory T-cells anemi disease progression. Incidence of aplastic anemia in Turkey: The presence of even small monosomy 7 clones in the bone marrow, as detected by FISH but not by routine cytogeneticsis a poor prognostic indicator for response to IST [ 39 ].

Related articles Aplastic anemia non specific symptoms north bengal region peripheral pancytopenia. Kategori artikel 1 ebook 1 jurnal 1 Tak Berkategori 1.

In rural Thailand, associated exposures to non-bottled water, as well as to certain animals, xnemia animal fertilizer, and also to pesticides suggest an infectious etiology [ 2 ]. Aneuploidy develops in a minority of patients treated with immunosuppression over time, usually monosomy 7 and trisomy 8[ 32 ]. YoungPhillip Scheinbergand Rodrigo T. The blood Hb and er jurnl cellular form normalconditions at the end of the experiment was indicative of resistancedue continuous consumption followed by the formation of newnormochrome normocyter erythrocytes.


Summary Evidence has accumulated in the recent years further corroborating an immune-mediated process underlying AA pathogenesis. Antithymocyte globulin with or without cyclosporin A: Epidemiology and Etiology Acquired AA is a rare disease; almost half of cases occur during the first three decades of life.

The benefits and limitations of this regimen as initial therapy have been quantitated in systematic studies in the US, Japan and Europe: The global absence of large number of cell surface proteins in PNH has been hypothesized to allow escape and survival of a pre-existing mutant clone.

Chronic GVHD has been a major cause of morbidity and mortality anrmia patients who survived more than 2 years post graft, with the necessity of long term immunosuppressive therapy common [ 72 ].

For relapsed patients, re-introduction of CsA commonly result in improvement in blood counts, however, CsA-dependence is frequent and the dose of CsA usually is tapered slowly with hematologic monitoring [ 45 ].

One peculiar feature of white blood cells in AA is short telomeres, observed in approximately a third of cases [ 2425 ]. Incidence and risk factors. It issuggested to pursue a further research to ident ify the parameters fornon-hazardous chloramphenicol residue in shrimps for it to be safe forhuman consumption, as well as to determine the proper treatment andprocessing method to reduce chloramphenicol residue for safeconsumption.


The clinical implication of telomere shortening in AA is being investigated for prognostic significance. Optimization of conditioning for marrow transplantation from unrelated donors for patients with anmia anemia after failure of immunosuppressive therapy. Increased apoptosis in aplastic anemia bone marrow progenitor cells: Distinct EBV and CMV reactivation patterns following antibody-based immunosuppressive regimens in patients with severe aplastic anemia. Isyanto, Maria Abdulsalam http: