Successful Treatment by All-Trans Retinoic Acid in a Patient with Acute Promyelocytic Leukemia Complicated by Liver Cirrhosis and Polycystic Kidney
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概要
- 論文の詳細を見る
Although all-trans retinoic acid (ATRA) is widely used in acute promyelocytic leukemia (APL), there is little data as to whether or not ATRA is useful for patients with liver and renal failure. A 63-year-old APL patient, complicated by Child-Pugh class A liver cirrhosis and chronic renal failure (creatinine 3.2 mg/dL), was successfully treated with 45 mg/m2/day of ATRA. With three courses of chemotherapy, complete remission has been maintained for four years in this patient. Serum trough and maximum ATRA concentration, and the area under the curve (AUC) were not elevated. These observations suggest that full-dose ATRA therapy might be safely applicable to such a complicated case with APL.
著者
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Yamane Arito
Department of Medicine and Clinical Science, Gunma University Graduate School of Medicine
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Tsukamoto Norifumi
Department of Medicine and Clinical Science, Gunma University Graduate School of Medicine
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Saitoh Takayuki
Department of Medicine and Clinical Science, Gunma University Graduate School of Medicine
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Uchiumi Hideki
Department of Medicine and Clinical Science, Gunma University Graduate School of Medicine
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Handa Hiroshi
Faculty of Health Science, Gunma University School of Medicine
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Karasawa Masamitsu
Blood Transfusion Service, Gunma University Hospital
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Nojima Yoshihisa
Department of Medicine and Clinical Science, Gunma University Graduate School of Medicine
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Murakami Hirokazu
Faculty of Health Science, Gunma University School of Medicine
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