[Changes of the oral mucous membrane in patients after transplantation of haematopoietic cells].
Myeloablative chemotherapy used prior stem cell transplantation produces epithelial injury including oral cavity. Both damage by chemotherapy and subsequent infections cause mucositis. The aim of the study was to evaluate mucositis in a group of 31 patients. Patients aged 18-67 yrs (mean 42 yrs): 28 with blood neoplasms and 3 with aplastic anemia, were observed on days 0, 3, 5, 7, 9, 14 and 30 after transplantation of haematopoietic cells (autologous in 20 cases and allogeneic in 11 cases). The intensity of mucosal inflammation was evaluated according to 3 scales: WHO, Bearmann and 5-degree scale developed by the authors. This last scale, unlike other scales, was based on an accurate stomatological evaluation of the mucosal changes. A positive correlation was found between the intensity of mucosal inflammation and granulocytopenia <500/microl (p<0.01) and also between the presence of petechiae with blood platelet level <20.000/microl (p<0.001).
Karakulska-Prystupiuk
Ewa
E
Katedra i Klinika Hematologii, Onkologii i Chorób Wewnetrznych AM w Warszawie.
Grzegorczyk-Jaźwińska
Anna
A
Kozak
Irena
I
Paluszewska
Monika
M
Rokicka
Malgorzata
M
Tomaszewska
Agnieszka
A
Torosian
Tigran
T
Dwilewicz-Trojaczek
Jadwiga
J
Górska
Renata
R
Jedrzejczak
Wiesław
W
D000328:Adult; D000368:Aged; D000380:Agranulocytosis / Q000139:chemically induced; D001792:Blood Platelets / Q000378:metabolism; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000187:drug effects* / Q000473:pathology*; D019653:Myeloablative Agonists / Q000009:adverse effects*; D013280:Stomatitis / Q000139:chemically induced* / Q000473:pathology; D013997:Time Factors; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous; D016896:Treatment Outcome
D019653:Myeloablative Agonists