Zmeny v diagnostike a liečbe venookluzívnej choroby pečene u detí
Authors:
M. Füssiová 1; P. Švec 1; J. Horáková 1; A. Kolenova 1; P. Sedláček 2; P. Rohoň 3; I. Boďová 1; J. Adamčáková 1; T. Sýkora 1; V. Dobšinská 1; M. Pozdechová 1; D. Dóczyová 1; S. Vargová 1
Authors‘ workplace:
Transplantačná jednotka kostnej drene, Klinika detskej hematológie a onkológie, NÚDCH, Bratislava, Slovensko
1; Klinika dětské hematologie a onkologie 2. LF UK a FN Motol, Praha, ČR
2; Klinika hematológie a transfuziológie LF UK a UN, Bratislava, Slovensko
3
Published in:
Transfuze Hematol. dnes,29, 2023, No. 2, p. 124-131.
Category:
Review/Educational Papers
doi:
https://doi.org/10.48095/cctahd2023prolekare.cz3
Overview
Sinusoidal obstruction syndrome of the liver or hepatic veno-occlusive disease (HVOD) is a serious and potentially life-threatening complication of hematopoietic stem cell transplantation. Expert analyses show differences in HVOD between adult and paediatric patients (incidence, genetic predisposition, prevention, risk factors, clinical course, treatment, survival and mortality). The new criteria for the diagnosis and classification of the disease recommended by the European Society for Blood and Marrow Transplantation (EBMT) are a key factor in the management of HVOD in childhood. These international recommendations promote early diagnosis and early defibrotide treatment of the clinical complication.
Keywords:
hematopoietic stem cell transplantation – veno-occlusive disease of the liver – new paediatric EBMT criteria for diagnostics and classification – defibrotide
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