All-trans-retinoic-acid and arsenic trioxide induced remission in promyelocytic blast crisis

Autor: Teresa A. Colvin, Pankit Vachhani, Sheila Sait, Vishala Neppalli, Eunice S. Wang
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Leukemia Research Reports, Vol 10, Iss , Pp 16-19 (2018)
Druh dokumentu: article
ISSN: 2213-0489
DOI: 10.1016/j.lrr.2018.07.002
Popis: A 78-year-old-male with chronic myeloid leukemia (CML) treated for seven years with dasatinib developed an acute promyelocytic leukemia complicated by disseminated intravascular coagulopathy. A promyelocytic blast crisis was diagnosed by demonstrating co-expression of chimeric BCL/ABL and PML/RARα translocations by karyotyping, fluorescence in situ hybridization, and quantitative real-time polymerase chain reaction. Promyelocytic blast crisis of CML is a rare event with historically poor outcomes. Treatment of our patient with all-trans-retinoic acid (ATRA) and arsenic trioxide (ATO) resulted in complete morphologic remission. We review here the relevant literature of promyelocytic blast crisis and highlight the potential of ATRA/ATO as first line management. Keywords: ATRA, ATO, CML, Promyelocytic, Blast crisis
Databáze: Directory of Open Access Journals