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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Asplatic Anemia. ATG Treatment. Suggestion?

Hi

My dad is 62yrs old and he is suffering from aplastic anemia. He had an ATG(horse) treatment now his bone marrow is functioning as expected after 6months of treatment. Initially he responded well.
I'm clueless what is to be done now.

Initially when he was treated with ATG he was given 30vials of atgam.

I'm getting mixed opinion on what is to be done from various specialist.

I want a genuine suggestion what is to be done now.
shall i go for second ATG(Rabbit) or shall i try out BMT?
please help???
Wed, 26 Jun 2013
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Pediatrician 's  Response
hi
thanks for your query
i can feel your concerns
if your dad is healthy physically fit ,with no co morbidities and HLA matches donor is available and he is willing then treatment of choice is BMT
If he has any associated illness and his body is not able to tolerate conditioning and further stress of BMT, then go for second ATG.
hope it helps
regards
dr.imran
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Asplatic Anemia. ATG Treatment. Suggestion?

hi thanks for your query i can feel your concerns if your dad is healthy physically fit ,with no co morbidities and HLA matches donor is available and he is willing then treatment of choice is BMT If he has any associated illness and his body is not able to tolerate conditioning and further stress of BMT, then go for second ATG. hope it helps regards dr.imran