4.4 Article

Complete Response to Tacrolimus in a Child With Severe Aplastic Anemia Resistant to Cyclosporin A

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PEDIATRIC BLOOD & CANCER
卷 52, 期 4, 页码 525-527

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WILEY
DOI: 10.1002/pbc.21751

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aplastic anemia; childhood; cyclosporin A; gingival hyperplasia; tacrolimus

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Aplastic anemia (AA) is a rare disorder in children, usually treated with immunosuppressive therapy (IST) including antithymocyte globulin (ATG) and cyclosporin A. There are no current widely used alternative therapies with comparable efficacy. We describe a child with severe aplastic anemia (SAA), who developed severe gingival hyperplasia secondary to cyclosporin A, unresponsive to intensive dental intervention. When IST was changed to tacrolimus there was a significant improvement in the gingival hyperplasia, but equally important, he achieved complete response of his AA within several months. The use of tacrolimus in children with AA may he a potential modality of treatment. Pediatr Blood Cancel 2009;52:525-527. (c) 2008 Wiley-Liss, Inc.

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