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Inicio Revista Colombiana de Reumatología Autotransplante exitoso de Células Madres Hematopoyéticas en una mujer con Esc...
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Vol. 16. Issue 4.
Pages 375-381 (December 2009)
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Vol. 16. Issue 4.
Pages 375-381 (December 2009)
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Autotransplante exitoso de Células Madres Hematopoyéticas en una mujer con Esclerosis Sistémica Severa Refractaria al manejo inmunosupresor
Successful autologous Stem Cell transplantation in a woman with Severe Systemic Sclerosis, refractory to immunosuppressive therapy
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Elsa Reyes1,3,4, Ana Milena Arbeláez1,3, Luz Mabel Ávila Portillo1,3,4, Benjamín Ospino2,3, Juan Manuel Bello1,3, Diego Jaimes1,3,4, John Londoño1,4, Rafael Valle Oñate1,4
1 Reumatología, Universidad Militar Nueva Granada - Hospital Militar Central
2 Hematología, Hospital Militar Central
3 Stem Medicina Regenerativa
4 Grupo de Espondiloartropatías Universidad De La Sabana – Hospital Militar Central
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Resumen

Describimos el caso de una paciente femenina de 49 años con esclerosis sistémica difusa con compromiso cutáneo y pulmonar severo, rápidamente progresivo, sin respuesta al manejo inmunosupresor convencional; quien fue sometida a transplante de células madres hematopoyéticas (TCMH) con mejoría sostenida del compromiso cutáneo y pulmonar a los 6 meses post-TCMH.

Palabras clave:
transplante de células progenitoras hematopoyéticas
terapia inmunosupresora
enfermedades autoinmunes
esclerosis sistémica
Summary

The following case presents a 49 year-old patient with diffuse SSc and poor evolution given by rapidly progressive of severe skin and lung involvement, who had undergone autologous stem cell transplantation in December 2008. Sustained improvement of skin thickening and of major organ involvement was achieved at six months.

Key words:
autologous stem cell transplantation
immunosuppressive therapy
autoimmune diseases
systemic sclerosis
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Referencias
[1.]
T.A. Medsger Jr..
Natural history of systemic sclerosis and the assessment of disease activity, severity, functional status, and psychologic wellbeing.
Rheum Dis Clin North Am., 29 (2003), pp. 225-273
[2.]
M.D. Mayers, J.V. Lacey Jr., J. Beebe Dimmer, B.W. Gillespie, B. Cooper, T.J. Laing, D. Schottenfeld.
Prevalence, incidence, survival, and disease characteristics of systemic sclerosis in a large US population.
Arthritis Rheum., 48 (2003), pp. 226-255
[3.]
A.J. Geirsson.
Systemic sclerosis in Iceland. A nationwide epidemiological study.
Ann Rheum Dis, 53 (1994), pp. 502-505
[4.]
V.D. Steen, T.A. Medsger Jr..
Changes in causes of death in systemic sclerosis.
Ann Rheum Dis, 66 (2007), pp. 940-944
[5.]
E.C. LeRoy, C. Black, R. Fleischmajer, S. Jablonska, T. Krieg, T.A. Medsger Jr., N. Rowell, F. Wollheim.
Scleroderma (systemic sclerosis): classification, subsets and pathogenesis.
J Rheumatol., 15 (1998), pp. 202-205
[6.]
V.D. Steen, T.A Medsger Jr..
Severe organ involvement in systemic sclerosis with diffuse scleroderma.
[7.]
Tashkin., (Tashkin DP, Elashoff R, Clements PJ, Goldin J, Roth MD, Furst DE, et al. Research Group., et al.
Cyclophosphamide versus placebo in scleroderma lung disease..
N Engl J Med, 354 (2006), pp. 2655-2666
[8.]
R.K. Hoyles, et al.
A multicenter, prospective, randomized, double-blind, placebo-controlled trial of corticosteroids and intravenous cyclophosphamide followed by oral azathioprine for the treatment of pulmonary fibrosis in scleroderma.
Arth. Rheum., 54 (2006), pp. 3962-3970
[9.]
J.M. van Laar, D. Farge, A. Tyndall.
Stem cell transplantation: a treatment option for severe systemic sclerosis?.
Ann Rheum Dis, 67 (2008), pp. iii35-iii38
[10.]
D.W. Van Bekkum.
Stem cell transplantation for autoimmune disorders Preclinical experiments.
Best Pract Res Clin Haematol, 17 (2004), pp. 201-222
[11.]
D. Farge, C. Henegar, M. Carmagnat, M. Daneshpouy, Z. Marjanovic, C. Rabian, et al.
Analysis of immune reconstitution after autologous bone marrow transplantation in systemic sclerosis.
Arthritis Rheum, 52 (2005), pp. 1555-1563
[12.]
A. Gratwohl, J. Passweg, C. Bocelli-Tyndall, A. Fassas, J.M. van Laar, D. Farge, et al.
Autologous hematopoietic stem cell transplantation for autoimmune diseases.
Bone Marrow Transplant, 35 (2005), pp. 869-879
[13.]
D. Farge, J. Passweg, J.M. van Laar, Z. Marjanovic, C. Besenthal, J. Finke, et al.
Autologous stem cell transplantation in the treatment of systemic sclerosis: report from the EBMT/EULAR Registry.
Ann Rheum Dis, 63 (2004), pp. 974-981
[14.]
M. Binks, J.R. Passweg, D. Furst, Tyndall..
A Phase I/II trial of autologous stem cell transplantation in systemic sclerosis: procedure related mortality and impact on skin disease.
Ann Rheum Dis, 60 (2001), pp. 577-584
[15.]
J.M. Van Laar, D. Farge, A. Tyndall.
Autologous Stem Cell Transplantation International Scleroderma (ASTIS) trial: hope on the horizon for patients with severe systemic sclerosis.
Ann Rheum Dis, 64 (2005), pp. 1515
[16.]
R.A. Nash, P.A. McSweeney, L.J. Crofford, M. Abidi, C.S. Chen, J.D. Godwin, et al.
Highdose immunosuppressive therapy and autologous hematopoietic cell transplantation for severe systemic sclerosis: long-term followup of the US multicenter pilot study.
Blood, 110 (2007), pp. 1388-1396
[17.]
C.J. Velásquez, A.H. Ospina, J.D. Duque, J.D. Márquez, L.F. Pinto.
Respuesta adecuada y sostenida a transplante autólogo de médula ósea en un paciente con esclerosis sistémica rápidamente progresiva y refractaria: Reporte de caso.
Revista Colombiana de Reumatología., 16 (2009), pp. 211
Copyright © 2009. Asociación Colombiana de Reumatología
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