Hurler syndrome surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hurler syndrome}} | {{Hurler syndrome}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{ADI}} | ||
{{PleaseHelp}} | |||
==Overview== | ==Overview== | ||
[[Bone marrow transplantation]] (BMT) and [[umbilical cord blood transplantation]] (UCBT) can successfully treat the mucopolysaccharidoses. Abnormal physical characteristics, except for those affecting the skeleton and eyes, can be improved, and neurologic degeneration can often be halted. BMT and UCBT are high-risk procedures with high rates of morbidity and mortality. However, they are the only treatments that have the potential to cure the disease. | [[Bone marrow transplantation]] (BMT) and [[umbilical cord blood transplantation]] (UCBT) can successfully treat the mucopolysaccharidoses. Abnormal physical characteristics, except for those affecting the skeleton and eyes, can be improved, and neurologic degeneration can often be halted. BMT and UCBT are high-risk procedures with high rates of morbidity and mortality. However, they are the only treatments that have the potential to cure the disease. | ||
==Surgery== | ==Surgery== | ||
===Bone Marrow | ===Bone Marrow Transplantation === | ||
* These procedures lead to replacement of mutated/ non-functional cells of the bone marrow with functional cells. | * These procedures lead to replacement of mutated/ non-functional cells of the bone marrow with functional cells. | ||
* Functional new cells act as a source for the deficient enzyme. | * Functional new cells act as a source for the deficient enzyme. | ||
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** [[Graft]] failure | ** [[Graft]] failure | ||
** [[Pulmonary hemorrhage]] | ** [[Pulmonary hemorrhage]] | ||
=== Umbilical Cord Blood Transplantation=== | |||
* This plays a crucial role when suitable donor is not available for transplant. | |||
* In a study done between 1995 and 2002, quite a convincing results were obtained with the cord blood transplants.<ref name="pmid15128896">{{cite journal |author=Staba SL, Escolar ML, Poe M, Kim Y, Martin PL, Szabolcs P, Allison-Thacker J, Wood S, Wenger DA, Rubinstein P, Hopwood JJ, Krivit W, Kurtzberg J |title=Cord-blood transplants from unrelated donors in patients with Hurler's syndrome |journal=[[The New England Journal of Medicine]] |volume=350 |issue=19 |pages=1960–9 |year=2004 |month=May |pmid=15128896 |doi=10.1056/NEJMoa032613 |url=http://www.nejm.org/doi/abs/10.1056/NEJMoa032613?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dwww.ncbi.nlm.nih.gov |accessdate=2013-02-25}}</ref> | |||
* Cord blood transplantation favorably altered the course of disease.<ref name="pmid15128896"/> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Hepatology]] | [[Category:Hepatology]] | ||
[[Category: | [[Category:Cardiology]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Psychiatry]] | [[Category:Psychiatry]] | ||
{{WS}} | |||
{{WH}} | |||
Latest revision as of 13:45, 19 July 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
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Overview
Bone marrow transplantation (BMT) and umbilical cord blood transplantation (UCBT) can successfully treat the mucopolysaccharidoses. Abnormal physical characteristics, except for those affecting the skeleton and eyes, can be improved, and neurologic degeneration can often be halted. BMT and UCBT are high-risk procedures with high rates of morbidity and mortality. However, they are the only treatments that have the potential to cure the disease.
Surgery
Bone Marrow Transplantation
- These procedures lead to replacement of mutated/ non-functional cells of the bone marrow with functional cells.
- Functional new cells act as a source for the deficient enzyme.
- Transplant has the best outcome when its done as soon as the diagnosis is established.
- Children who receive a transplant early enough can have normal or near-normal mental development.
- If the disease has progressed causing organ damage, the child is at high risk of developing life-threatening complications from transplant.
- Transplants cannot undo the damage done to nervous system.
- Risks of transplant
Umbilical Cord Blood Transplantation
- This plays a crucial role when suitable donor is not available for transplant.
- In a study done between 1995 and 2002, quite a convincing results were obtained with the cord blood transplants.[1]
- Cord blood transplantation favorably altered the course of disease.[1]
References
- ↑ 1.0 1.1 Staba SL, Escolar ML, Poe M, Kim Y, Martin PL, Szabolcs P, Allison-Thacker J, Wood S, Wenger DA, Rubinstein P, Hopwood JJ, Krivit W, Kurtzberg J (2004). "Cord-blood transplants from unrelated donors in patients with Hurler's syndrome". The New England Journal of Medicine. 350 (19): 1960–9. doi:10.1056/NEJMoa032613. PMID 15128896. Retrieved 2013-02-25. Unknown parameter
|month=ignored (help)