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肾病综合征免疫抑制治疗可能导致慢性粒细胞白血病(作者译)

[Chronic myelogenous leukaemia as a possible consequence of immunosuppressive treatment of nephrotic syndrome (author's transl)].

作者信息

Cáp J, Misíková Z

出版信息

Monatsschr Kinderheilkd (1902). 1975 Oct;123(10):718-20.

PMID:1058334
Abstract

A boy, aged 14, suffered since his 5th year from nephrotic syndrome. During the first 7 years he had been treated with adrenocorticosteroids, but his condition hardly improved. Then a cyclophosphamide treatment was started with a total dosis of 5 g in 50 days. The nephrotic syndrome had disappeared, but relapsed 3 years afterwards, this time accompanied by chronic myelogenous leukaemia. The possibility of the onset of chronic myelogenous leukaemia in connection with the immunosuppressive therapy (adrenocorticosteroids and cyclophosphamide) is discussed.

摘要

一名14岁男孩自5岁起就患有肾病综合征。在最初的7年里,他接受了肾上腺皮质类固醇治疗,但病情几乎没有改善。随后开始了环磷酰胺治疗,50天内总剂量为5克。肾病综合征消失了,但3年后复发,这次伴有慢性粒细胞白血病。本文讨论了与免疫抑制治疗(肾上腺皮质类固醇和环磷酰胺)相关的慢性粒细胞白血病发病的可能性。

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