Table 4.

Cytopenias posttransplant

Age, y SexCytopeniaTreatment and outcome
21 Warm type AIHA Prednisolone, rituximab, splenectomy, NR; died GVHD and thromboembolism 
43 Warm type AIHA Prednisolone NR, rituximab, CR 
30 Warm type AIHA Prednisolone NR, rituximab CR 
37 Warm type AIHA Prednisolone relapsed, rituximab CR 
22 Immune thrombocytopenia purpura No treatment required 
63 Probable autoimmune neutropenia Responded to GCSF, resolved 
57 Dapsone induced pancytopenia Resolved on drug withdrawal 
18 MMF induced neutropenia Resolved on drug withdrawal 
65 Ganciclovir induced cytopenias, hemophagocytic syndrome CMV specific CTLs; prednisolone, IVIg, romiplostim; transfusion dependent, hypocellular BM 
58 Poor engraftment, hypocellular BM FBC slowly improved with increased CSA dose; current status, transfusion independent, Hb 103 g/L, neutrophils 2.1 × 109/L, platelets 48 × 109/L, PB CD15 100%, CD3 23% 
27 Thrombocytopenia (platelet count 86 × 109/L) month +50; BM reduced megakaryocytes, CD15 61%, CD3 86% Responded to ciclosporin reintroduction 
Age, y SexCytopeniaTreatment and outcome
21 Warm type AIHA Prednisolone, rituximab, splenectomy, NR; died GVHD and thromboembolism 
43 Warm type AIHA Prednisolone NR, rituximab, CR 
30 Warm type AIHA Prednisolone NR, rituximab CR 
37 Warm type AIHA Prednisolone relapsed, rituximab CR 
22 Immune thrombocytopenia purpura No treatment required 
63 Probable autoimmune neutropenia Responded to GCSF, resolved 
57 Dapsone induced pancytopenia Resolved on drug withdrawal 
18 MMF induced neutropenia Resolved on drug withdrawal 
65 Ganciclovir induced cytopenias, hemophagocytic syndrome CMV specific CTLs; prednisolone, IVIg, romiplostim; transfusion dependent, hypocellular BM 
58 Poor engraftment, hypocellular BM FBC slowly improved with increased CSA dose; current status, transfusion independent, Hb 103 g/L, neutrophils 2.1 × 109/L, platelets 48 × 109/L, PB CD15 100%, CD3 23% 
27 Thrombocytopenia (platelet count 86 × 109/L) month +50; BM reduced megakaryocytes, CD15 61%, CD3 86% Responded to ciclosporin reintroduction 

CR, complete response; CTLs, cytotoxic T lymphocytes; IVIg, intravenous immunoglobulin; NR, no response.

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