Unrelated bone marrow transplantation for leukocyte adhesion deficiency

Bone Marrow Transplant. 2002 Dec;30(12):979-81. doi: 10.1038/sj.bmt.1703719.

Abstract

The severe form of leukocyte adhesion deficiency type I (LAD-I) usually leads to death early in life. Allogeneic haematopoietic transplantation is the only cure. Unrelated transplantation has been reported only once. We describe three children with LAD-I transplanted with T cell non-depleted bone marrow from unrelated HLA-matched donors. All patients engrafted, one of them at second transplant. One patient developed grade I and one grade II acute GVHD. Two patients are alive, one of them with a decrease in CD11/CD18 expression. Early referral for HLA-matched unrelated BMT is a reasonable option for patients with LAD-I lacking an HLA-matched related donor.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacterial Infections / etiology
  • Bone Marrow Transplantation* / adverse effects
  • Fatal Outcome
  • Female
  • Graft Survival
  • Graft vs Host Disease / etiology
  • Hepatitis C, Chronic / etiology
  • Humans
  • Infant
  • Infant, Newborn
  • Leukocyte-Adhesion Deficiency Syndrome / therapy*
  • Male
  • Pneumonia, Aspiration / etiology
  • Tracheoesophageal Fistula / etiology
  • Transplantation Conditioning / adverse effects
  • Transplantation, Homologous* / adverse effects