REVERSIBLE NEUROLOGIC TOXICITY IN PATIENTS TREATED WITH STANDARD-DOSE FLUDARABINE PHOSPHATE FOR MYCOSIS-FUNGOIDES AND CHRONIC LYMPHOCYTIC-LEUKEMIA

被引:44
作者
COHEN, RB [1 ]
ABDALLAH, JM [1 ]
GRAY, JR [1 ]
FOSS, F [1 ]
机构
[1] NCI, BETHESDA, MD 20892 USA
关键词
LEUKEMIA; LYMPHATIC; CHRONIC; MYCOSIS FUNGOIDES; FLUDARABINE PHOSPHATE; CENTRAL NERVOUS SYSTEM DISEASES; NEUROLOGIC MANIFESTATIONS;
D O I
10.7326/0003-4819-118-2-199301150-00007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fludarabine phosphate is approved for the treatment of advanced B-cell chronic lymphocytic leukemia refractory to alkylating agents. We report two cases of disabling but reversible neurotoxicity in a patient with mycosis fungoides and a patient with chronic lymphocytic leukemia who received standard doses of fludarabine (20 to 25 mg m2 per day for 5 days) every 28 days for 6 to 8 cycles). Serial brain magnetic resonance imaging scans in the patient with mycosis fungoides showed rapid evolution of white-matter changes with subsequent complete resolution.
引用
收藏
页码:114 / 116
页数:3
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