Ott Ashley, Venkataraman Vinayak, Badran Yousef R, Goldman Rose, Spasic Smiljana, Vyas Darshali A, Amrein Philip, McAfee Steven, Brunner Andrew, Fathi Amir T, Narayan Rupa
Department of Medicine Massachusetts General Hospital Boston MA USA.
Division of Gastroenterology Department of Medicine Massachusetts General Hospital Boston MA USA.
Clin Case Rep. 2021 May 15;9(5):e04115. doi: 10.1002/ccr3.4115. eCollection 2021 May.
Arsenic trioxide (ATO) is generally well tolerated for treatment of APL. We present a patient with severe watery diarrhea and pancreatitis thought to be due to ATO toxicity in the setting of obesity and acute kidney injury. Future studies evaluating ATO levels in patients experiencing toxicities may help guide dose modifications.
三氧化二砷(ATO)用于治疗急性早幼粒细胞白血病(APL)时通常耐受性良好。我们报告了一名患者,其出现严重水样腹泻和胰腺炎,考虑是在肥胖和急性肾损伤背景下由ATO毒性所致。未来评估发生毒性反应患者体内ATO水平的研究可能有助于指导剂量调整。