Asplatic anemia. ATG treatment. Suggestion?
Patient: 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??? Doctor: hithanks for your queryi can feel your concernsif 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 BMTIf 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 helpsregardsdr.imran