The role of hydroxyurea in the management of sickle cell disease

被引:45
作者
Davies, SC [1 ]
Gilmore, A [1 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Cent Middlesex Hosp, Fac Med, London NW10 7NS, England
关键词
sickle; hydroxyurea; crisis; HbF; toxicity;
D O I
10.1016/S0268-960X(02)00074-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sickle cell disease (SCD) is one of the most common genetic diseases with some 250,000 new births each year. Most patients suffer intermittent pain crises and life-threatening events while life expectancy is considerably reduced. Until the last decade management was purely preventative or supportive aimed at symptom control. Apart from stem cell transplant, there is no cure but the oral chemotherapeutic drug hydroxyurea (HU) has now established a role in ameliorating the disease and improving life expectancy for most patients. There are side effects and risks of HU treatment in SCD but for moderate and severely affected patients, the benefits can be significant. (C) 2003 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:99 / 109
页数:11
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