1
|
Jennane S, Hasnaoui N, Mahtat EM, Merimi F, Bougar S, El Maaroufi H, Belmekki A, Zafad S, Essakalli M, Mikdame M, Doghmi K. Non-cryopreserved peripheral blood stem cells autologous transplantation in multiple myeloma: Bicentric study. Transfus Clin Biol 2020; 27:152-156. [PMID: 32334934 DOI: 10.1016/j.tracli.2020.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2020] [Revised: 03/28/2020] [Accepted: 03/30/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES The objective of this study is to evaluate the toxicity of autologous transplantation of non-frozen peripheral blood stem cells in Moroccan patients with multiple myeloma. MATERIAL AND METHODS This was a bicentric retrospective study conducted in the Clinical Haematology Department of Mohammed V Military Teaching Hospital and at the Al Madina Clinic in Casablanca. The study period was from January 2015 to June 2019. All patients with multiple myeloma who had undergone an autologous peripheral stem cell transplant without freezing were included. Mobilisation was performed with lenograstim alone and the collected stem cells were stored for 24-48hours in a blood bank refrigerator at a temperature of 4°C. After standard conditioning with high-dose melphalan, the peripheral blood stem cells were reinjected 24 h following conditioning. RESULTS Over the study period, 55 patients received an autologous transplant using non-frozen peripheral blood stem cells. The median richness of the CD34 cells collected was 4.5×106 CD34/kg (range: 2-12.2). The time required for neutrophil recovery was 12 days (range: 7-19). The time required for platelet recovery was 14 days (range: 9-32). The mortality rate within 100 days post-transplant was 3.6%. We did not observe any cases of graft failure. CONCLUSION Our study finds good feasibility and low toxicity of autologous peripheral stem cell transplantation without freezing in patients with multiple myeloma.
Collapse
Affiliation(s)
- S Jennane
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc.
| | - N Hasnaoui
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - E M Mahtat
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - F Merimi
- Clinique privée Al Madina, Casablanca, Maroc
| | - S Bougar
- Service de Transfusion et d'Immunologie, Banque de Tissus et Cellules, Centre Hospitalier Universitaire Ibn Sina, Université Mohammed V de Rabat, Rabat, Maroc
| | - H El Maaroufi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - A Belmekki
- Centre de Transfusion Sanguine Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - S Zafad
- Clinique privée Al Madina, Casablanca, Maroc
| | - M Essakalli
- Service de Transfusion et d'Immunologie, Banque de Tissus et Cellules, Centre Hospitalier Universitaire Ibn Sina, Université Mohammed V de Rabat, Rabat, Maroc
| | - M Mikdame
- Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| | - K Doghmi
- Service d'Hématologie Clinique, Hôpital Militaire d'Instruction Mohammed V de Rabat, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Rabat, Maroc
| |
Collapse
|
2
|
Mahtat EM, Filali KZ, Haidouri S, Jennane S, ElMaaroufi H, Mikdame M, Doghmi K. PB2157 CHARACTERISTICS AND REAL-WORLD TREATMENT OUTCOMES IN MULTIPLE MYELOMA YOUNG PATIENTS: A SINGLE CENTER MOROCCAN EXPERIENCE. Hemasphere 2019. [DOI: 10.1097/01.hs9.0000567112.63344.8b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
3
|
Eddou H, Zinebi A, Khalloufi A, Mahtat EM, El Khadir SE, Moudden MK, Doghmi K, Mikdame M, El Baaj M. [Thrombo-haemorrhagic disease-related hypoprothrombinemia-lupus anticoagulant syndrome revealing a light chains multiple myeloma]. J Med Vasc 2018; 43:325-328. [PMID: 30217348 DOI: 10.1016/j.jdmv.2018.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Accepted: 07/08/2018] [Indexed: 06/08/2023]
Abstract
Thrombosis and hemorrhage are two opposing manifestations of multiple myeloma. These hemostatic disorders are present in less than 12% of patients at diagnosis and involve various pathophysiological mechanisms. We report the case of a 39-year-old patient with multiple myeloma revealed by the association of a hemorrhagic syndrome and deep vein thrombosis related to a hypoprothrombinemia-anticoagulant lupus syndrome.
Collapse
Affiliation(s)
- H Eddou
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc; Faculté de médecine et de pharmacie de Fès, Maroc.
| | - A Zinebi
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - A Khalloufi
- Service d'hématologie biologique, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - E M Mahtat
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - S E El Khadir
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - M K Moudden
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| | - K Doghmi
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - M Mikdame
- Service d'hématologie clinique, hôpital Militaire d'instruction Mohammed V Rabat, Maroc
| | - M El Baaj
- Service de médecine A, hôpital Militaire Moulay Ismail Meknès, Maroc
| |
Collapse
|
4
|
Jennane S, Haidouri S, Zine Filali K, Ahchouch S, Mahtat EM, Doghmi K, Mikdame M. [Fatal bleomycin induced pneumomediastinum and bilateral pneumothorax]. Rev Pneumol Clin 2017; 73:153-156. [PMID: 28365047 DOI: 10.1016/j.pneumo.2017.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Accepted: 02/03/2017] [Indexed: 06/07/2023]
Affiliation(s)
- S Jennane
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc.
| | - S Haidouri
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - K Zine Filali
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - S Ahchouch
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - E M Mahtat
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - K Doghmi
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| | - M Mikdame
- Service d'hématologie clinique, hôpital militaire d'instruction Mohammed V, Hay Riad BP 10100, Rabat, Maroc
| |
Collapse
|
5
|
Hamzi MA, Mahtat EM, Hassani K, Asserraji M, Benyahia M, Oualim Z. Myelodysplastic syndrome and extracapillary glomerulonephritis: is there a link? AJN 2012. [DOI: 10.21804/15-1-750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Introduction: The association of myelodysplastic syndrome and extracapillary glomerulonephritis is exceptional. Only two other cases have been reported. Reported case: A 52-year-old patient with a history of myelodysplastic syndrome developed rapidly progressive glomerulonephritis. Renal biopsy identified extracapillary glomerulonephritis.Discussion: The association of myelodysplastic syndrome with glomerulopathy is rare and often regarded as fortuitous. Only a few cases are described in literature on the subject. A relationship between the two diseases is possible but the causal link between these two diseases remains unknown. Conclusion: The notion that myelodysplastic syndrome may be associated with various glomerular nephropathies involves looking for renal disease in this haematologic disorder.
Collapse
|