RECURRENT SPLEEN ENLARGEMENT DURING CYCLIC GRANULOCYTE-MACROPHAGE COLONY-STIMULATING FACTOR THERAPY FOR MYELODYSPLASTIC SYNDROME

被引:16
作者
DELMER, A [1 ]
KARMOCHKINE, M [1 ]
CADIOU, M [1 ]
GERHARTZ, H [1 ]
ZITTOUN, R [1 ]
机构
[1] UNIV MUNICH,KLINIKUM GROSSHADERN,MED KLIN 3,W-8000 MUNICH 70,GERMANY
关键词
side effect; splenomegaly;
D O I
10.1002/ajh.2830340117
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 65‐year‐old woman with refractory anemia with excess of blasts received sequential courses of granulocyte‐macrophage colony‐stimulating factor therapy (GM‐CSF) and low‐dose cytosine arabinoside. Each course of GM‐CSF induced a rapid and tremendous increase in leukocyte count as well as in spleen size, 111indium chloride scanning suggested a myeloid metaplasia of the spleen. This observation suggests that in some patients the granulopoietic response to the myeloid growth factor stimulation may be predominant in the spleen. Copyright © 1990 Wiley‐Liss, Inc., A Wiley Company
引用
收藏
页码:73 / 74
页数:2
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