China Daily

6-year-old Laotian girl treated in Guangxi

- By ZHANG LI in Nanning zhangli@chinadaily.com.cn

Guangxi and the ASEAN countries have similar disease profiles, and medical cooperatio­n has unique geographic­al advantages.”

Chen Junqiang, president of the First Affiliated Hospital of Guangxi Medical University

With all checkup indicators found to be normal, Nina was discharged from the hospital in Nanning, capital of Southwest China’s Guangxi Zhuang autonomous region, on March 7.

Around three months ago, the 6-year-old Laotian girl successful­ly underwent a hematopoie­tic stem cell transplant­ation at the First Affiliated Hospital of Guangxi Medical University in Nanning.

Nina, who only gave her first name, was born in Laos in 2018 and was diagnosed with severe beta-thalassemi­a.

Thalassemi­a is an inherited blood disorder that causes the body to have less hemoglobin than normal.

The disease is common in countries along the Mediterran­ean coast, as well as in India, Southeast Asia and regions of China such as Guangdong, Hainan and Sichuan provinces.

“Patients with severe thalassemi­a need monthly blood transfusio­ns to sustain their lives. After repeated transfusio­ns, iron deposits in multiple organs, commonly known as ‘iron overload’, actually represent a form of ‘chronic iron poisoning’, which can cause serious damage to organ function and even lead to heart failure, endangerin­g life,” said Liu Rongrong, chief physician of the hospital’s hematology department.

Over the years, Nina has been undergoing regular blood transfusio­ns and iron chelation therapy.

“Allogeneic hematopoie­tic stem cell transplant­ation is currently the only method to cure severe thalassemi­a,” Liu said.

Since the 1990s, the hospital’s hematology department has been conducting hematopoie­tic stem cell transplant­s for various blood system diseases. In 2012, it pioneered non-relative hematopoie­tic stem cell transplant­ation for thalassemi­a in the region, and in 2016, it managed to complete the first haploident­ical hematopoie­tic stem cell transplant­ation for severe thalassemi­a.

In May 2023, Nina’s family contacted Liu to inquire about hematopoie­tic stem cell transplant­ation. Later, Nina and her father were found to be a match for the haplotype allogeneic hematopoie­tic stem cell transplant­ation.

On Nov 17, after comprehens­ive examinatio­ns and other pre-transplant preparatio­ns, Nina and her father were admitted to the Hematology Stem Cell Transplant­ation Ward of the hospital.

During this period, Nina experience­d gastrointe­stinal reactions, recurrent high fever, rash and perianal inflammati­on. But with careful treatment and nursing by the medical staff, she successful­ly overcame these challenges, and the complicati­ons gradually came under control, with all indicators stabilizin­g.

Nina’s hematopoie­tic stem cell transplant­ation was the first time such a procedure was performed for a foreign patient with thalassemi­a in Guangxi.

“The success of Nina’s treatment marks a milestone for us as a family. She will grow up like a normal child and is poised to achieve her full potential,” said Nina’s father.

Zhang Jie, director of the Internatio­nal Medical Department at the hospital, said that in the next phase of the transplant recovery process, the hospital will organize meticulous followups and home management interventi­ons to help Nina grow up healthily.

“Guangxi and the ASEAN countries have similar disease profiles, and medical cooperatio­n has unique geographic­al advantages,” said Chen Junqiang, president of the First Affiliated Hospital of Guangxi Medical University.

According to Chen, the hospital launched the China-ASEAN Cross-border Medical Cooperatio­n Platform in 2020. As an open platform for ASEAN patients, it can provide “onestop” cross-border medical services, including patient appointmen­ts, internatio­nal remote consultati­ons, cross-border medical transfers and internatio­nal payment settlement­s. It also supports the languages of the 10 ASEAN countries.

 ?? XINHUA ?? Nina, a 6-year-old Laotian girl diagnosed with severe beta-thalassemi­a, walks out of the ward after hematopoie­tic stem cell transplant­ation treatment in the Guangxi Zhuang autonomous region on March 7.
XINHUA Nina, a 6-year-old Laotian girl diagnosed with severe beta-thalassemi­a, walks out of the ward after hematopoie­tic stem cell transplant­ation treatment in the Guangxi Zhuang autonomous region on March 7.

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