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儿童异基因造血干细胞移植后吉兰-巴雷综合征1例并文献复习

吕佳忆 周小辉 王春静 杨春兰 罗明静 刘四喜

中国当代儿科杂志2026,Vol.28Issue(6):763-767,5.
中国当代儿科杂志2026,Vol.28Issue(6):763-767,5.DOI:10.7499/j.issn.1008-8830.2509140

儿童异基因造血干细胞移植后吉兰-巴雷综合征1例并文献复习

Guillain-Barré syndrome following allogeneic hematopoietic stem cell transplantation in a pediatric patient:a case report and literature review

吕佳忆 1周小辉 1王春静 1杨春兰 1罗明静 1刘四喜1

作者信息

  • 1. 深圳市儿童医院血液肿瘤科,广东 深圳 518000
  • 折叠

摘要

Abstract

A 10-year-old girl diagnosed with hyper-IgE syndrome for more than six years developed dizziness and symmetrical progressive limb weakness one week prior to hospital admission,occurring 4 months after allogeneic hematopoietic stem cell transplantation.On post-transplant day 121,dizziness and progressive,symmetric limb weakness appeared.Cerebrospinal fluid analysis revealed albuminocytologic dissociation.Electromyography confirmed multiple peripheral nerve lesions,consistent with the diagnosis of Guillain-Barré syndrome.Intravenous immunoglobulin therapy showed limited efficacy,whereas corticosteroid therapy produced significant clinical improvement.Neurological symptoms fully resolved after treatment;however,severe chronic graft-versus-host disease occurred subsequently.Based on this case,related literature was reviewed and summarized to provide references for early diagnosis,mechanistic investigation,and treatment options.

关键词

异基因造血干细胞移植/吉兰-巴雷综合征/移植物抗宿主病/儿童

Key words

Allogeneic hematopoietic stem cell transplantation/Guillain-Barré syndrome/Graft-versus-host disease/Child

引用本文复制引用

吕佳忆,周小辉,王春静,杨春兰,罗明静,刘四喜..儿童异基因造血干细胞移植后吉兰-巴雷综合征1例并文献复习[J].中国当代儿科杂志,2026,28(6):763-767,5.

基金项目

深圳市医疗卫生"三名工程"(SZSM202211033) (SZSM202211033)

广东省高水平临床重点专科(深圳市配套建设经费)(SZGSP012). (深圳市配套建设经费)

中国当代儿科杂志

1008-8830

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