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一名骨髓增生异常综合征患者接受环孢素A治疗后疾病进展出现可逆性加速。

Reversible acceleration of disease progression following cyclosporin A treatment in a patient with myelodysplastic syndrome.

作者信息

Itoh Mitsuru, Yago Kazuhiro, Shimada Hideto, Tohyama Kaoru

机构信息

Department of Internal Medicine, Shizuoka General Hospital, Shizuoka, Japan.

出版信息

Int J Hematol. 2002 Apr;75(3):302-4. doi: 10.1007/BF02982046.

DOI:10.1007/BF02982046
PMID:11999360
Abstract

A 38-year-old Japanese man with myelodysplastic syndrome (MDS), whose bone marrow smears demonstrated hypercellularity, was treated with oral cyclosporin A (CsA) therapy. During the course of this therapy, the numbers of peripheral blood and bone marrow blasts increased and the level of serum lactate dehydrogenase increased. After discontinuation of CsA treatment, all of these levels rapidly decreased. We consider that CsA might accelerate disease progression in certain MDS cases.

摘要

一名38岁患有骨髓增生异常综合征(MDS)的日本男性,其骨髓涂片显示细胞增多,接受了口服环孢素A(CsA)治疗。在该治疗过程中,外周血和骨髓原始细胞数量增加,血清乳酸脱氢酶水平升高。停用CsA治疗后,所有这些水平迅速下降。我们认为CsA可能会加速某些MDS病例的疾病进展。

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Reversible acceleration of disease progression following cyclosporin A treatment in a patient with myelodysplastic syndrome.一名骨髓增生异常综合征患者接受环孢素A治疗后疾病进展出现可逆性加速。
Int J Hematol. 2002 Apr;75(3):302-4. doi: 10.1007/BF02982046.
2
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[Efficiency of cyclosporin A therapy in patients with myelodysplastic syndrome].[环孢素A治疗骨髓增生异常综合征患者的疗效]
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引用本文的文献

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A case of treatment-related myelodysplastic syndrome spontaneously resolved by drug discontinuance.治疗相关性骨髓增生异常综合征停药后自发缓解 1 例
Int J Hematol. 2010 Apr;91(3):530-3. doi: 10.1007/s12185-010-0511-2. Epub 2010 Feb 13.
2
Response to cyclosporine therapy in patients with myelodysplastic syndrome: a clinical study of 12 cases and literature review.骨髓增生异常综合征患者对环孢素治疗的反应:12例临床研究及文献复习
Int J Hematol. 2004 Jul;80(1):35-42. doi: 10.1532/ijh97.04051.

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Cyclosporin A therapy in hypoplastic MDS patients and certain refractory anaemias without hypoplastic bone marrow.环孢素A治疗低增生性骨髓增生异常综合征患者及某些无骨髓低增生的难治性贫血。
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Multiple responses of aplastic anemia to low-dose cyclosporine therapy despite development of a myelodysplastic syndrome.再生障碍性贫血对低剂量环孢素治疗的多种反应,尽管出现了骨髓增生异常综合征。
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