Tretinoin toxicity in children with acute promyelocytic leukaemia

Tretinoin is effective in acute promyelocytic leukaemia in adults. Data about its efficacy and safety in children are limited. We have treated 9 children with tretinoin at 45 mg/m2 per day. Pseudotumour cerebri or hyperleucocytosis occured in 5 patients. Retinoic acid syndrome was seen in 3 cases. 1...

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Veröffentlicht in:The Lancet (British edition) 1993-12, Vol.342 (8884), p.1394-1395
Hauptverfasser: Mahmoud, H.H., Hurwitz, C.A., Roberts, W.M., Santana, V.M., Ribeiro, R.C., Krance, R.A.
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container_end_page 1395
container_issue 8884
container_start_page 1394
container_title The Lancet (British edition)
container_volume 342
creator Mahmoud, H.H.
Hurwitz, C.A.
Roberts, W.M.
Santana, V.M.
Ribeiro, R.C.
Krance, R.A.
description Tretinoin is effective in acute promyelocytic leukaemia in adults. Data about its efficacy and safety in children are limited. We have treated 9 children with tretinoin at 45 mg/m2 per day. Pseudotumour cerebri or hyperleucocytosis occured in 5 patients. Retinoic acid syndrome was seen in 3 cases. 1 of 2 children who developed hyperleucocytosis, pseudotumour cerebri, and retinoic acid syndrome died despite steroids and mechanical ventilation. Complete remissions with tretinoin alone were achieved in 5 patients. All 8 surviving children received consolidation chemotherapy. Our experience with tretinoin therapy suggests that toxixity is frequent in children. Lancet 1993; 342: 1394–95
doi_str_mv 10.1016/0140-6736(93)92755-I
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Data about its efficacy and safety in children are limited. We have treated 9 children with tretinoin at 45 mg/m2 per day. Pseudotumour cerebri or hyperleucocytosis occured in 5 patients. Retinoic acid syndrome was seen in 3 cases. 1 of 2 children who developed hyperleucocytosis, pseudotumour cerebri, and retinoic acid syndrome died despite steroids and mechanical ventilation. Complete remissions with tretinoin alone were achieved in 5 patients. All 8 surviving children received consolidation chemotherapy. Our experience with tretinoin therapy suggests that toxixity is frequent in children. 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subjects Adolescent
Adults
Biological and medical sciences
Chemotherapy
Child
Child, Preschool
Children
Drug therapy
Drug toxicity and drugs side effects treatment
Female
Humans
Infant
Leukemia
Leukemia, Promyelocytic, Acute - drug therapy
Leukocyte Count - drug effects
Leukocytes - physiology
Male
Mechanical ventilation
Medical research
Medical sciences
Miscellaneous (drug allergy, mutagens, teratogens...)
Patients
Pediatrics
Pharmacology. Drug treatments
Pseudotumor Cerebri - chemically induced
Pseudotumors
Retinoic acid
Steroid hormones
Steroids
Syndrome
Toxicity
Tretinoin
Tretinoin - adverse effects
Tretinoin - therapeutic use
Ventilation
title Tretinoin toxicity in children with acute promyelocytic leukaemia
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