PSEUDORELAPSE IN ACUTE MYELOMONOCYTIC LEUKEMIA AFTER HIGH-DOSE METHYLPREDNISOLONE

被引:2
作者
ALBAYRAK, D
机构
[1] Department of Pediatric Hematology, Medical Faculty, Ondokuzmayis University, Samsun
关键词
LEUKEMIA; MYELOMONOCYTIC; METHYLPREDNISOLONE; HIGH DOSE; RELAPSE;
D O I
10.1016/0145-2126(94)90010-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
High dose methylprednisolone (HDMP) has been used both in induction treatment and in leukopenia of acute leukemia. We report the case of a 14-year-old girl with acute myelomonocytic leukemia (AMML) who developed a pseudorelapse after receiving an oral HDMP trial (30 mg/kg/day PO in the morning for 15 days) to overcome neutropenia. She presented with severe bone pain at the end of treatment. Bone marrow examination revealed 53% young promyelocytes (some with a large nucleolus), 2% myeloblast, 5% monocyte, and increased cellularity. Bone pain and promyelocytes regressed spontaneously while maintenance treatment continues. We advise that a pseudorelapse must be borne in mind after MDMP and probably GM-CSF treatments in acute leukaemias.
引用
收藏
页码:61 / 62
页数:2
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