Cáp J, Misíková Z
Monatsschr Kinderheilkd (1902). 1975 Oct;123(10):718-20.
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.
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。