慢性移植与宿主疾病的神经表现 慢性移植与宿主疾病的神经表现
Tal Koren1,2, Alice Kwok3, William Stevenson3
1Deparment of Neurology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Internal medicine journal
|August 19, 2025
概括
异种干细胞移植后慢性移植对宿主疾病 (GvHD) 的神经并发症很少见,但很严重. 了解这些表现有助于诊断和管理.
科学领域:
- 血液学 血液学 血液学
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 全基血造干细胞移植 (allo-HSCT) 是各种疾病的重要治疗方法.
- 移植与宿主疾病 (GvHD) 是 allo-HSCT 的一个重要并发症.
- 慢性GvHD可以影响多个器官系统,神经系统的参与不太常见和具有挑战性.
研究的目的:
- 调查慢性GvHD后合并-HSCT患者的神经并发症的发生率和特征.
- 描述特定的神经表现及其管理.
主要方法:
- 针对血液性恶性瘤接受allo-HSCT的患者的回顾性分析.
- 纳入标准:已确立的慢性GvHD.诊断.
- 病例选择,以详细说明神经症状的表现.
主要成果:
- 在455例合HSCT病例中,228例 (50%) 发展为慢性GvHD.
- 7例 (3.1%) 患者出现神经复杂症.
- 详细介绍了四个不同的病例 (脑筋疲劳症,比克斯塔夫脑干脑炎,ADEM,炎症性脑膜炎).
结论:
- 慢性GvHD的神经表现很少发生.
- 将GvHD相关的神经疾病与异常形式进行比较,可以增强对病理生理学的理解.
- 管理可能与神经系统疾病的传统方法有所不同.
相关概念视频
Chronic Kidney Disease II: Clinical Manifestations
87
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
87
Disorders of the Nervous Tissue
1.6K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
1.6K
Cell-mediated Immune Responses
72.4K
Overview
72.4K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
34
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
34
Myasthenia Gravis: Overview and Treatment
1.9K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.9K
Autoimmune Disorders
671
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
671


