Megakaryocytic blast crisis as first presentation of chronic myeloid leukemia

被引:8
|
作者
Campiotti, L.
Grandi, A. M.
Biotti, M. G.
Ultori, C.
Solbiati, F.
Codari, R.
Venco, A.
机构
[1] Univ Insburia, Dipartimento Med Clin, Varese, Italy
[2] Osped Circolo Varese, Lab Anal Chim Clin, Varese, Italy
关键词
chronic myeloid leukemia; megakaryocytic blast crisis; apheresis;
D O I
10.1002/ajh.20797
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe an extremely rare case of megalkaryocytic blast crisis as first presentation of chronic myelold leukemia. The patient had a very high platelet count and developed an ischemic stroke with seizures. She was treated with hydroxyurea, platelet apheresis, ARA-C, and idarubicin in order to obtain a prompt reduction of thrombocytosis and then with imatinib 600 mg/die PO. The therapy induced a complete hematological remission with a resolution of neurological signs within 4 weeks. Am. J. Hematol. 82:231-233, 2007. (c) 2006 Wiley-Liss, Inc.
引用
收藏
页码:231 / 233
页数:3
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