Korean J Pediatr Hematol Oncol.  2004 Apr;11(1):92-96.

Defibrotide Treatment for Hepatic Veno-occlusive Disease after Umbilical Cord Blood Transplantation

Affiliations
  • 1Department of Pediatrics, Chonnam National University Medical School, Gwangju, Korea. hoonkook@chonnam.ac.kr
  • 2Department of Pediatrics, Choongbook National University Medical School, Cheong-ju, Korea.

Abstract

Veno-occlusive disease (VOD) of the liver is a life-threatening complication occurring early after blood or bone marrow transplantation (BMT). Effective treatment has not been established in case of severe forms of VOD. Defibrotide, a single-stranded polydeoxyribonucleotide, has been used on a compassionate basis in recent clinical trials with promising results. We report here with the first Korean experience of using defibrotide for the treatment of hepatic VOD occurring after unrelated umbilical cord blood transplant in a 2-year-old child with acute lymphoblastic leukemia. Defibrotide was administered for 23 days without any significant side effects with resolution of signs and symptoms of VOD.

Keyword

Venoocclussive disease; Umblical cord blood transplantation; Defibrotide

MeSH Terms

Bone Marrow Transplantation
Child
Child, Preschool
Empathy
Fetal Blood*
Hepatic Veno-Occlusive Disease*
Humans
Liver
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Umbilical Cord*
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