FULMINANT HEPATIC-FAILURE IN NON-HODGKIN LYMPHOMA PATIENTS TREATED WITH CHEMOTHERAPY

被引:47
作者
SOH, LT
ANG, PT
SNG, I
CHUA, EJ
ONG, YW
机构
[1] SINGAPORE GEN HOSP, DEPT PATHOL, SINGAPORE, SINGAPORE
[2] SINGAPORE GEN HOSP, DEPT THERAPEUT RADIOL, SINGAPORE, SINGAPORE
[3] SINGAPORE GEN HOSP, DEPT HAEMATOL, SINGAPORE, SINGAPORE
关键词
D O I
10.1016/0959-8049(92)90513-2
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Chemotherapy is the mainstay of therapy for patients with non-Hodgkin lymphoma. Among side-effects associated with the use of chemotherapy, immunosuppression is one which can be potentially fatal. In hepatitis B carriers, immunosuppression permits widespread infection of the hepatocytes and its subsequent withdrawal causes an "immunological rebound" leading to massive necrosis of hepatocytes. 4 patients who died of fulminant hepatitis following chemotherapy are reported. These were patients with positive hepatitis B serology. Caution is advised when treating non-Hodgkin lymphoma in patients from hepatitis B endemic regions.
引用
收藏
页码:1338 / 1339
页数:2
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