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Successful treatment of acute promyelocytic leukemia in a patient on hemodialysis
Authors:Yoshiki Tsuchiya  Yoshifumi Ubara  Tatsuya Suwabe  Junichi Hoshino  Keiichi Sumida  Rikako Hiramatsu  Eiko Hasegawa  Masayuki Yamanouchi  Noriko Hayami  Yuji Marui  Naoki Sawa  Fumi Takemoto  Kenmei Takaichi
Affiliation:Nephrology Center, Toranomon Hospital Kajigaya, 1-3-1 Kajigaya Takatsu, Kawasaki, Kanagawa 213-8587, Japan. yoshiki1209@gmail.com
Abstract:
Acute promyelocytic leukemia (APL) has the best prognosis among acute leukemias, but there is little data about APL in patients on hemodialysis. A 64-year-old hemodialysis patient was successfully treated for APL by induction therapy with all-trans retinoic acid (ATRA), three courses of consolidation therapy with Ara-C, mitomycin?C (MIT), daunorubicin (DNR), and idarubicin (IDR), and maintenance therapy with ATRA. Complete remission has been maintained for 42?months in this patient. With dose modification, ATRA and chemotherapy may be safely given to patients on hemodialysis.
Keywords:
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