Background: In Fanconi anemia bone marrow failure is the major cause of morbidity and mortality and hematopoietic stem cell transplantation represents the only curative treatment. Liver disease, in terms of elevated liver function tests, as well as benign and malignant liver tumors, occurs especially in case of androgen treatment. We report a unique case of a child with Fanconi anemia with FANCD2 mutation who developed neonatal cryptogenic liver cirrhosis and bone marrow failure. The child successfully underwent sequential liver transplantation and hematopoietic stem cell transplantation in the first 2 years of life. Nineteen months after hematopoietic stem cell transplantation and 30 months after liver transplantation, the patient is clinically well with normal hematopoietic function and excellent liver function. ConclusionThis is the first FA patient who successfully received sequential LT and HSCT highlighting that successful sequential transplantation is feasible in Fanconi anemia patients.

Di Stasio, F., Bravi, M., Bonanomi, S., Balduzzi, A., Prunotto, G., Migliorino, G., et al. (2023). Successful sequential liver and hematopoietic stem cell transplantation in a patient with Fanconi anemia. PEDIATRIC TRANSPLANTATION, 27(5) [10.1111/petr.14503].

Successful sequential liver and hematopoietic stem cell transplantation in a patient with Fanconi anemia

Di Stasio, F;Bonanomi, S;Balduzzi, A;Prunotto, G;Migliorino, GM;D'Antiga, L;
2023

Abstract

Background: In Fanconi anemia bone marrow failure is the major cause of morbidity and mortality and hematopoietic stem cell transplantation represents the only curative treatment. Liver disease, in terms of elevated liver function tests, as well as benign and malignant liver tumors, occurs especially in case of androgen treatment. We report a unique case of a child with Fanconi anemia with FANCD2 mutation who developed neonatal cryptogenic liver cirrhosis and bone marrow failure. The child successfully underwent sequential liver transplantation and hematopoietic stem cell transplantation in the first 2 years of life. Nineteen months after hematopoietic stem cell transplantation and 30 months after liver transplantation, the patient is clinically well with normal hematopoietic function and excellent liver function. ConclusionThis is the first FA patient who successfully received sequential LT and HSCT highlighting that successful sequential transplantation is feasible in Fanconi anemia patients.
Articolo in rivista - Articolo scientifico
Fanconi anemia; hematopoietic stem cell transplantation; liver transplantation;
English
13-mar-2023
2023
27
5
e14503
none
Di Stasio, F., Bravi, M., Bonanomi, S., Balduzzi, A., Prunotto, G., Migliorino, G., et al. (2023). Successful sequential liver and hematopoietic stem cell transplantation in a patient with Fanconi anemia. PEDIATRIC TRANSPLANTATION, 27(5) [10.1111/petr.14503].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/440340
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