Responding to ATG!
Hello,
I hope this information can help someone else out there.
I was diagnosed with AA/MDS-RCMD and received ATG/Cyclosporine/Prednisone in December of 2008. I have now been transfusion free for 6 weeks!
From what I've read and learned from my doctors, ATG can be an effective treatment for "younger" patients with hypo-MDS, MDS-RA, and MDS-RCMD who's condition appears to be immune-mediated. A couple of my doctors think my response will be short-lived (6-12 months). However, I've read an article that showed much more durable responses in the above sub-types of MDS - I think because of the overlap between this disease and Aplastic Anemia.
As a disclaimer, my doctors have had a very difficult time diagnosing my disease. I've had 5 expert opinions: 1-AA, 1-uncertain, and 3-MDS-RCMD. So, I may be a morph of the two diseases. Maybe that is why I am responding so well to the ATG. I also have sub-clinical PNH, which I've heard is good predictor for response to ATG.
Anyway, ATG may be another treatment option to discuss with your doctor if you fall into this sub-type of MDS.
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55 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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