Suzuki Y, Nakase K, Nagaya S, Tamaki S, Tanigawa M, Ikeda T, Tsuji K, Miyanishi E
Department of Internal Medicine, Yamada Red Cross Hospital.
Rinsho Ketsueki. 1995 Jul;36(7):707-9.
We report a case of acute promyelocytic leukemia (APL) following ulcerative colitis (UC). A 23-year-old man was diagnosed as UC in January 1991 and had been treated with salazosulfapyridine and prednisolone with good effect. In September 1993, he developed bleeding tendency and a diagnosis of APL with disseminated intravascular coagulation was made based on the results of bone marrow aspiration and coagulation profile. Complete remission was achieved with All-trans retinoic acid together with combined chemotherapy. He died of sepsis during consolidation chemotherapy in December 1993. Autopsy revealed no recurrence of UC.
我们报告一例溃疡性结肠炎(UC)后发生急性早幼粒细胞白血病(APL)的病例。一名23岁男性于1991年1月被诊断为UC,一直接受柳氮磺胺吡啶和泼尼松龙治疗,效果良好。1993年9月,他出现出血倾向,根据骨髓穿刺结果和凝血指标诊断为APL伴弥散性血管内凝血。全反式维甲酸联合化疗使病情完全缓解。1993年12月,他在巩固化疗期间死于败血症。尸检显示UC无复发。