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 |
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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 |
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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. Lancet 1993; 342: 1394–95</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/0140-6736(93)92755-I</identifier><identifier>PMID: 7901684</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>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</subject><ispartof>The Lancet (British edition), 1993-12, Vol.342 (8884), p.1394-1395</ispartof><rights>1993</rights><rights>1994 INIST-CNRS</rights><rights>Copyright Lancet Ltd. Dec 4, 1993</rights><rights>Copyright Elsevier Limited Dec 4, 1993</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-426705d36f4b7cda38bb2912d746619f4a4af774112ca3eb290cd434800a45713</citedby><cites>FETCH-LOGICAL-c492t-426705d36f4b7cda38bb2912d746619f4a4af774112ca3eb290cd434800a45713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/014067369392755I$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3864397$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7901684$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mahmoud, H.H.</creatorcontrib><creatorcontrib>Hurwitz, C.A.</creatorcontrib><creatorcontrib>Roberts, W.M.</creatorcontrib><creatorcontrib>Santana, V.M.</creatorcontrib><creatorcontrib>Ribeiro, R.C.</creatorcontrib><creatorcontrib>Krance, R.A.</creatorcontrib><title>Tretinoin toxicity in children with acute promyelocytic leukaemia</title><title>The Lancet (British edition)</title><addtitle>Lancet</addtitle><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</description><subject>Adolescent</subject><subject>Adults</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Drug therapy</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Leukemia</subject><subject>Leukemia, Promyelocytic, Acute - drug therapy</subject><subject>Leukocyte Count - drug effects</subject><subject>Leukocytes - physiology</subject><subject>Male</subject><subject>Mechanical ventilation</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Miscellaneous (drug allergy, mutagens, teratogens...)</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pharmacology. 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Drug treatments</topic><topic>Pseudotumor Cerebri - chemically induced</topic><topic>Pseudotumors</topic><topic>Retinoic acid</topic><topic>Steroid hormones</topic><topic>Steroids</topic><topic>Syndrome</topic><topic>Toxicity</topic><topic>Tretinoin</topic><topic>Tretinoin - adverse effects</topic><topic>Tretinoin - therapeutic use</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mahmoud, H.H.</creatorcontrib><creatorcontrib>Hurwitz, C.A.</creatorcontrib><creatorcontrib>Roberts, W.M.</creatorcontrib><creatorcontrib>Santana, V.M.</creatorcontrib><creatorcontrib>Ribeiro, R.C.</creatorcontrib><creatorcontrib>Krance, R.A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>News 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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. Lancet 1993; 342: 1394–95</abstract><cop>London</cop><pub>Elsevier Ltd</pub><pmid>7901684</pmid><doi>10.1016/0140-6736(93)92755-I</doi><tpages>2</tpages></addata></record> |
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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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