Fludarabine-related autoimmune haemolytic anaemia in patients with chronic lymphocytic leukaemia

Autor: VA Craig, David J. Curtis, Jenny A. Orchard, H. Myint, J. A. Copplestone, Archie G. Prentice, M. D. Hamon, David Oscier, Terry J. Hamblin
Rok vydání: 1995
Předmět:
Zdroj: British Journal of Haematology. 91:341-344
ISSN: 1365-2141
0007-1048
DOI: 10.1111/j.1365-2141.1995.tb05300.x
Popis: We have treated 52 patients with chronic lymphocytic leukaemia (CLL) with fludarabine; 12 developed severe autoimmune haemolysis. Only three had a previous history of haemolytic anaemia. Six out of eight patients retreated with fludarabine after control of their haemolysis developed an exacerbation of the haemolytic anaemia. The cause of autoimmune phenomena in CLL is not known, but our findings reinforce the view that they are caused by a disturbance in immunoregulatory T cells. Fludarabine is a known suppressor of T-cell function.
Databáze: OpenAIRE