Successful allogeneic bone marrow transplantation in severe chronic mucocutaneous candidiasis syndrome.
We report the successful HLA-identical sibling bone marrow transplantation (BMT) of a 12-year-old boy with chronic mucocutaneous candidiasis (CMC) syndrome who also had Coomb's positive haemolytic anaemia and recurrent bronchopneumonia with resulting bronchiectasis. Conditioning was with busulfan and cyclophosphamide. Engraftment was slow but complete. Selective red cell haemopoietic failure was encountered soon after transplantation but resolved spontaneously. The patient remains alive 3 years after transplantation and now has normal immune, haemopoeitic and pulmonary functions. No manifestation of CMC has been evident since transplantation.
Hoh
M C
MC
Department of Paediatrics, University Hospital, Kuala Lumpur.
Lin
H P
HP
Chan
L L
LL
Lam
S K
SK
D000017:ABO Blood-Group System; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications; D016026:Bone Marrow Transplantation / Q000009:adverse effects / Q000473:pathology; D001987:Bronchiectasis / Q000150:complications; D001996:Bronchopneumonia / Q000150:complications; D002178:Candidiasis, Chronic Mucocutaneous / Q000150:complications / Q000276:immunology / Q000628:therapy*; D002648:Child; D006680:HLA Antigens; D006410:Hematopoiesis; D006801:Humans; D008297:Male; D014184:Transplantation, Homologous
D000017:ABO Blood-Group System; D006680:HLA Antigens