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Increased risk of leukaemia in patients with juvenile chronic arthritis treated with chlorambucil
Authors:MJ Kauppi,HA Savolainen,V-J Anttila,HA Isomä  ki
Affiliation:Rheumatism Foundation Hospital, Heinola and Third Department of Medicine1, Helsinki University Hospital, Helsinki, Finland
Abstract:Two cases of acute leukaemia have developed in a group of 77 patients treated with chlorambucil (Chl) because of severe juvenile chronic arthritis. The total follow-up from the beginning of Chl treatment in these patients was 560 years, indicating a highly increased risk of leukaemia. Despite favourable results, especially in patients with secondary amyloidosis, Chl should only be used in selected cases.
Keywords:Chlorambucil    cytotoxic drugs    juvenile chronic arthritis    leukaemia
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