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Bone Marrow Transplantation, Ulcerative Colitis, and Acquired Immunodeficiency Syndrome (AIDS) FREE

Alexander S. D. Spiers, MD, PhD
JAMA. 1987;257(14):1902-1902. doi:10.1001/jama.1987.03390140072027
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To the Editor.—  It is universally recognized that bone marrow transplantation from an allogeneic donor is followed by severe and frequently prolonged acquired immune deficiency.1,2 Many clinical and immunologic features of the syndrome resemble those of acquired immunodeficiency syndrome (AIDS), including reversal of the T4/T8 lymphocyte ratio.3 Because of these similarities and because recipients of marrow transplants also receive multiple transfusions of red blood cells and platelets, Atkinson and coworkers4 examined serum samples from 17 marrow transplant recipients for antibody to human T-cell lymphotropic virus type III (human immunodeficiency virus). Of the 16 patients who were seronegative, eight had severe infections, and it was concluded that the immune deficiency after marrow transplantation is not caused by an AIDS-associated retrovirus. A group in Paris,5 while in basic agreement with this view, has demonstrated antibody to the AIDS virus in 4% of marrow recipients before transplantation and in

REFERENCES

Bleyer AW, Blaese RM, Bujak JS, et al:  Long-term remission from acute myelogenous leukemia after bone marrow transplantation and recovery from acute graftversus-host reaction and prolonged immunoincompetence . Blood 1975;;45:171-181.
Noel DR, Witherspoon RP, Storb R, et al:  Does graftversus-host disease influence the tempo of immunologic recovery after allogeneic human marrow transplantation?: An observation on 56 long-term survivors . Blood 1978;;51: 1087-1105.
Atkinson K, Goehle S, Hansen J, et al:  T cell subpopulations identified by monoclonal antibodies after human bone marrow transplantation: I. Helper-inducer and cytotoxicsuppressor subsets . Blood 1982;;59:1292-1298.
Atkinson K, Cooper D, Dodds A, et al:  Evidence that immune deficiency after marrow transplantation is not caused by AIDS-associated retrovirus . N Engl J Med 1985;; 313:182-183.
Vilmer E, Rouzioux C, Barre F, et al:  Screening for lymphadenopathy/AIDS virus in bone marrow-transplant recipients . N Engl J Med 1986;;314:1252.
Edelbaum DN:  No AIDS among patients on dialysis? N Engl J Med 1986;;314:187.
Klein RS:  More on AIDS in patients on dialysis . N Engl J Med 1986;;314:1386.
Spiers ASD:  Ulcerative colitis after bone-marrow transplantation for acute leukemia . N Engl J Med 1984;;311:1259.

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Bleyer AW, Blaese RM, Bujak JS, et al:  Long-term remission from acute myelogenous leukemia after bone marrow transplantation and recovery from acute graftversus-host reaction and prolonged immunoincompetence . Blood 1975;;45:171-181.
Noel DR, Witherspoon RP, Storb R, et al:  Does graftversus-host disease influence the tempo of immunologic recovery after allogeneic human marrow transplantation?: An observation on 56 long-term survivors . Blood 1978;;51: 1087-1105.
Atkinson K, Goehle S, Hansen J, et al:  T cell subpopulations identified by monoclonal antibodies after human bone marrow transplantation: I. Helper-inducer and cytotoxicsuppressor subsets . Blood 1982;;59:1292-1298.
Atkinson K, Cooper D, Dodds A, et al:  Evidence that immune deficiency after marrow transplantation is not caused by AIDS-associated retrovirus . N Engl J Med 1985;; 313:182-183.
Vilmer E, Rouzioux C, Barre F, et al:  Screening for lymphadenopathy/AIDS virus in bone marrow-transplant recipients . N Engl J Med 1986;;314:1252.
Edelbaum DN:  No AIDS among patients on dialysis? N Engl J Med 1986;;314:187.
Klein RS:  More on AIDS in patients on dialysis . N Engl J Med 1986;;314:1386.
Spiers ASD:  Ulcerative colitis after bone-marrow transplantation for acute leukemia . N Engl J Med 1984;;311:1259.
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