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BBC News Online: Health


Monday, 10 December, 2001, 14:44 GMT

Bone marrow success boosted


children playing
Aplastic anaemic is rare in children
Children with a rare disease who cannot be helped by conventional treatment have been aided by a technique developed in the UK.

It allows donor bone marrow to be used - in many cases, the body would reject this.

In a remarkable run of success, doctors at London's Great Ormond Street Hospital for children have treated eight young patients this way - and all of them have survived and are doing well.

They suffered from a disease called aplastic anaemia, in which the bone marrow fails.



It is one of the most dramatic improvements in success rates I know of
Dr Paul Veys, Great Ormond Street Hospital for Children

If there is a brother or sister who can provide matching bone marrow, this is most the most successful treatment.

For the rest, the only option is an transplant from an unrelated donor, and although many patients find drugs which suppress the immune system can help, there are still those who fail this way.

Remarkable improvement

Other options, such as umbilical stem cells, or transplants from a parent, are not sufficiently advanced to work in these patients.

In 1997, survival rates for this group were between 30% and 50%.

Consultant Dr Paul Veys, a consultant in bone marrow transplantation from Great Ormond Street, said: "Ten years ago, perhaps 20% of patients in this group survived.

"In 1997, the results were between 30% and 50%.

"In our latest group of patients - about a dozen cases - the success rate is practically 100%.

"It is one of the most dramatic improvements in success rates I know of."

Bristol Royal Hospital for Sick Children has also been using the technique, and joint results were published in the British Journal of Haematology.


Related to this story:
Umbilical cord transplant could save children (06 Dec 98 | Health) Leukaemia toddler in groundbreaking operation (14 Aug 98 | Health) Banking on umbilical blood (25 Oct 99 | Health) 'Super stem cell' tested in mice (03 May 01 | Health) Leukaemia test 'could save lives' (19 May 01 | Health)


Internet links: Great Ormond Street Hospital | Anthony Nolan Bone Marrow Trust |
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