We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Minimizing Complications of Bone Marrow Transplantation

Samuel Vaisrub, MD
JAMA. 1980;243(23):2427-2428. doi:10.1001/jama.1980.03300490045029.
Text Size: A A A
Published online


In less than a decade since the Seattle team achieved a successful bone marrow transplantation,1 this procedure has become an acceptable treatment for leukemia and a preferred treatment for severe aplastic anemia.2 However, the success of this therapy is lessened by complicating infections and graft-vs-host reactions, with attendant graft rejection and mortality. Even though the donor is a family member with identical human leukocyte antigen, the risk of graft rejection hangs over the patient like the sword of Damocles.

To reduce the risk of graft rejection, a conditioning immunosuppressive regimen is scrupulously followed. This usually entails using total-body irradiation, methotrexate for prevention of graft-vs-host reaction, and corticosteroids and antithymocyte globulin when this reaction develops. Despite such regimens the incidence of graft-vs-host disease remains high. Thomas and associates3 reported the occurrence of this complication in 12 of 19 marrow transplant patients with acute myelogenous leukemia, five of whom


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.