Table 1

 Pre- and post-transplant course of disease and immunosuppressive treatment

Age at HSCT (years)Sex/nationalityMajor symptoms at point of primary diagnosisDeveloping complicationsPretransplant immunosuppressive treatmentsReason for HSCTDuration of disease until HSCT (months)Stem cell mobilisation with:LeukapheresisEnrichment ex vivo with CD34+ cellsConditioning regimenHSCTCourse after HSCTResponse and outcomeCurrent immuno-suppressive drugs
32Male/GermanFever, recurrent aphthous ulcers, polyarthritis, erythema nodosum, intracardiac thrombusHaemoptysis, pulmonary artery aneurysmsHigh dose corticosteroids (up to 100 mg/day) for 48 months, methotrexate (40 mg/week IV) for 5 months, cyclophosphamide 150 mg/day and corticosteroids 250 mg/day for 5 monthsHigh disease activity with life threatening organ involvement (pulmonary bleeding) refractory to conventional chemotherapy48Two cycles of cyclophosphamide (2 g/m2 and 4 g/m2), G-CSF (10 μg/kg BW)Twice: 2.9×106/kg BW, no selection possible; 7.1×106/kg BW, after selection 5.1×106/kg BWYesMelphalan (200 mg/kg BW)March 1999Time to achieve leucocytes >1000: 9 days; fever: 1 day; antibiotics for 2 days; 4 platelet transfusionsComplete remissionNone
49Male/TurkishFever, aphthous ulcers, posterior uveitis, Coombs’ test negative haemolytic anaemia, central nervous system involvementOral cyclophosphamide and corticosteroids (Fauci scheme) for 10 months15Twice: 4.3×103/kg BW, no selection possible; 7.8×106/kg BW, after selection 3.6×106/kg BWNov 1999Time to achieve leucocytes >1000: 6 days; fever: 1 day; antibiotics for 7 days; 3 platelet transfusionsPartial response (recurrent oral and genital aphthous ulcers)Corticosteroids (8 mg/day)