异体造血干细胞移植后重症肌无力2例报告并文献复习。

Y J Shi, Y Han, X F Zhang, R Xi, H Bai, T Wu
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引用次数: 0

摘要

同种异体造血干细胞移植(alloo - hsct)后重症肌无力(MG)的发作严重威胁患者的生存,因为它是急性的,并且容易快速进展。2例急性髓性白血病(AML)患者行同种异体造血干细胞移植后出现呼吸短促,并逐渐发展为颈部无力和呼吸困难。乙酰胆碱受体(AChR)抗体和新斯的明试验有助于MG的诊断。经吡哆斯的明、糖皮质激素和利妥昔单抗治疗后,患者病情好转。
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[Myasthenia gravis after allogeneic hematopoietic stem cell transplantation: Two case reports and literature review].

The onset of myasthenia gravis (MG) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) seriously threatens the survival of patients, since it is acute, and is prone to rapid progression. Two patients with acute myeloid leukemia (AML), who had undergone allo-HSCT developed shortness of breath, and gradually developed cervical weakness and dyspnea. The acetylcholine receptor (AChR) antibody and neostigmine test enabled the diagnosis of MG. The condition of the patients improved after treatment with pyridostigmine bromide, glucocorticoids and rituximab.

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