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480 Chapter 8: Autoimmune Disease<br />

regimen, <strong>and</strong> graft h<strong>and</strong>ling. However, the short-term results of autoHSCT in our<br />

four patients are very promising, <strong>and</strong> although the follow-up period is short, the<br />

first impression is that autoHSCT could be an important weapon in the battle<br />

against refractory juvenile chronic arthritis.<br />

REFERENCES<br />

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Repetitive use of pulse therapy with methylprednisone <strong>and</strong> cyclophosphamide in addi­<br />

tion to oral methotrexate in children with systemic juvenile rheumatoid arthritis.<br />

Preliminary results of a long term study. J Rheumatol 19:612-616, 1992.<br />

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Newman AJ, Cassidy JT, Zemel LS: Methotrexate in resistant juvenile rheumatoid arthri­<br />

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AR, Schalke B, Hahn U, Haas R, Schmitz N: Early recurrence of persistence of autoim­<br />

mune diseases after unmanipulated <strong>autologous</strong> stem cell <strong>transplantation</strong>. Blood<br />

88:3621-3625, 1996.<br />

6. Van Bekkum DW, Bohre EPM, Houben PFJ, Knaan-Shanzer S: Regression of adjuvant-<br />

induced arthritis in rats following bone <strong>marrow</strong> <strong>transplantation</strong>. Proc Nat Acad Sci U S<br />

A 86:1090-1094, 1989.<br />

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tion on adjuvant arthritis in rats by total body irradiation <strong>and</strong> <strong>autologous</strong> bone <strong>marrow</strong><br />

<strong>transplantation</strong>. Bone Marrow Transplant 8:333-338, 1991.<br />

8. Clement-de Boers A, Oostdijk W, van Weel-Sipman H, van den Broek J, Wit JM, Vossen<br />

JM: Final height <strong>and</strong> hormonal function after bone <strong>marrow</strong> <strong>transplantation</strong>. J Pediatrics<br />

129:544-550, 1996.<br />

9. S<strong>and</strong>ers JE: Pubertal development of children treated with <strong>marrow</strong> <strong>transplantation</strong> before<br />

puberty. J Pediatrics 130:174-175, 1997.<br />

10. Socie G, Henry-Amar M, Bacigalupo A, Hows J, Tickelli A, Ljungman P, McCann SR,<br />

Frickhofen N, van't Veer-Korthof E, Gluckman E: Malignant tumors occurring after<br />

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