Erschienen in:
01.06.2015 | Hematology/Oncology (C Cole, Section Editor)
Hematopoietic Cell Transplantation and Sickle-Cell Disease: An Option for Everyone?
verfasst von:
Justine Kahn, Elana Smilow, Monica Bhatia
Erschienen in:
Current Pediatrics Reports
|
Ausgabe 2/2015
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Abstract
There have been vast improvements in the care of patients with sickle-cell disease (SCD) such that patients are now surviving four times longer today than in the 1970s. This is largely due to improvements in supportive care therapies such as infection prophylaxis, vaccinations, and better pain management strategies. Hematopoietic cell transplantation (HCT) affords patients with SCD the only curative treatment and is usually reserved only for the most symptomatic of patients who have matched sibling donors. As more is learned about the natural progression of this disease, there has been a push toward modifying conditioning regimens to decrease regimen-related toxicities such that all patients with matched sibling donors can be offered this option. In this article, we review the current state of HCT in patients with SCD and the progress that has been made in an attempt to render this treatment as an option for all patients afflicted with this condition.