[Thyroid gland dysfunction, disorders of somatic and sexual development, disturbances of fertility after hematopoietic stem cell transplantation]

Pediatr Endocrinol Diabetes Metab. 2013;19(1):29-34.
[Article in Polish]

Abstract

Since the 1980s, hematopoietic stem cell transplantation (HSCT) has been performed for malignant and non-malignant disorders leading to increasing numbers of long-term survivors. Some of them develop long-term posttransplantation complications, among them endocrine complications that arise many years after HSCT and demand to be treated till the end of patients´ life. In the paper "classical", observed several years after HSCT had been used as a treatment procedure, endocrine complications are discussed and the review of literature regarding this problem is presented. Thyroid dysfunction, disorders of somatic and sexual development are presented in details. Gonad dysfunction with the problem of fertility disturbances is reported. The paper presents the etiopathogenesis, methods of prevention, as well as treatment and the results of the treatment of these endocrine complications after HSCT. Moreover actual recommendations for screening and prevention of endocrine complications in long-term HCT survivors are presented.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Endocrine System Diseases / etiology
  • Gonadal Disorders / etiology*
  • Gonadal Disorders / physiopathology
  • Gonadal Disorders / prevention & control
  • Growth Disorders / etiology*
  • Growth Disorders / physiopathology
  • Growth Disorders / prevention & control
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Humans
  • Hypogonadism / etiology
  • Hypogonadism / prevention & control
  • Hypoparathyroidism / etiology
  • Hypoparathyroidism / prevention & control
  • Hypothyroidism / etiology
  • Hypothyroidism / prevention & control
  • Male
  • Thyroid Diseases / etiology*
  • Thyroid Diseases / physiopathology
  • Thyroid Diseases / prevention & control
  • Transplantation Conditioning / adverse effects