Current Review of Iron Overload and Related Complications in Hematopoietic Stem Cell Transplantation
Journal Title: Turkish Journal of Hematology - Year 2017, Vol 34, Issue 1
Abstract
Iron overload is an adverse prognostic factor for patients undergoing hematopoietic stem cell transplantation (HSCT). In the HSCT setting, pretransplant and early posttransplant ferritin and transferrin saturation were found to be highly elevated due to high transfusion requirements. In addition to that, post-HSCT iron overload was shown to be related to infections, hepatic sinusoidal obstruction syndrome, mucositis, liver dysfunction, and acute graft-versus-host disease. Hyperferritinemia causes decreased survival rates in both pre- and posttransplant settings. Serum ferritin levels, magnetic resonance imaging, and liver biopsy are diagnostic tools for iron overload. Organ dysfunction due to iron overload may cause high mortality rates and therefore sufficient iron chelation therapy is recommended in this setting. In this review the management of iron overload in adult HSCT is discussed.
Authors and Affiliations
Erden Atilla, Selami K. Toprak, Taner Demirer
Keywords
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- EP ID EP223907
- DOI 10.4274/tjh.2016.0450
- Views 88
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