Difference between revisions of "Autoimmune diseases and G-CSF"

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3.      Single system autoimmune disease which is still active or was particularly severe.
 
3.      Single system autoimmune disease which is still active or was particularly severe.
  
 +
4.      Recent Graves disease cannot go ahead but older cases of Graves disease may be accepted
  
 
In all these situations the donor must be informed and counselled.  
 
In all these situations the donor must be informed and counselled.  
 
 
Regarding Graves Disease, recent Graves disease cannot go ahead but older cases of Graves disease may be accepted
 
  
  
 
If in doubt, discuss with Medical Officer.
 
If in doubt, discuss with Medical Officer.
 
  
 
Inform the transplant centre.
 
Inform the transplant centre.

Revision as of 12:06, 13 December 2017

Acceptability at Recruitment

QUALIFIED - see below

Acceptability at CT / Work-Up

QUALIFIED - see below

Individual at Risk

Donor / Recipient

Explanation of Condition

Autoimmune diseases can be potentially triggered by G-CSF. Also, there is a theoretical risk of transmission of the disease to the recipient.

Guidance

GCSF should be avoided in the following situations:

1. Multisystem autoimmune disorders such as rheumatoid arthritis

2. Single system autoimmune disorders that involve vital organ such as kidney (IgA nephropathy), eye (iritis) or the CNS (MS included)

3. Single system autoimmune disease which is still active or was particularly severe.

4. Recent Graves disease cannot go ahead but older cases of Graves disease may be accepted

In all these situations the donor must be informed and counselled.


If in doubt, discuss with Medical Officer.

Inform the transplant centre.