Life-Saving Effect of Corticosteroid and Colchicine Combination in Acute Myeloid Leukemia: Case Report | ||
| Middle East Journal of Cancer | ||
| مقاله 62، دوره 13، شماره 3 - شماره پیاپی 51، 2022، صفحه 556-563 اصل مقاله (1.1 M) | ||
| نوع مقاله: Case Report(s) | ||
| شناسه دیجیتال (DOI): 10.30476/mejc.2022.87974.1449 | ||
| نویسندگان | ||
| Babak Abdolkarimi1؛ Mozhgan Hashemieh* 2؛ Arash Amin3 | ||
| 1Department of Pediatrics Hematology/Oncology, Lorestan University of Medical Sciences, Khoramabad, Iran | ||
| 2Department of Pediatrics Hematology/Oncology, Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| 3Department of Cardiology, Lorestan University of Medical Sciences, Khoramabad, Iran | ||
| چکیده | ||
| In the present research, we reported an acute myeloid leukemia subject. The patient was treated with Cytarabine 200 mg/m2 per day with continuous IV infusion on days 1, 2, 3, 4, Etoposide 100 mg/m2 per day with continuous IV infusion on days 1, 2, 3, 4, Idarubicin 12 mg/m2 as a 4-hour IV infusion on days 2, 4, 6, and Mitoxantrone 10 mg/m2 as a 30-minute IV infusion on days 1, 2, 3. During treatment, the patient suffered from 3 life-threatening complications caused by chemotherapy drugs include sinusoidal obstruction syndrome (SOS), refractory thrombocytopenia, and pericardial effusion with pericardiocentesis limitation. To this end, we tried three novel approaches for patient management by Corticosteroid and Colchicine. Intravenous immunoglobulin infusion and oral prednisolone (2 mg/kg/d) were not effective in thrombocytopenia. However, eltrombopag (25 mg/kg/d) response was dramatic. Moreover, pericardial effusion and respiratory distress during the first chemotherapy course were managed with Lasix (2 mg/kg/d) and Spironolactone (25 mg/d); meanwhile, the massive pericardial effusion during the second chemotherapy course was managed with Colchicine (0.5 mg/d) through the mentioned treatment. Fortunately, these approaches were effective and life-saving. | ||
| کلیدواژهها | ||
| Leukemia؛ Myeloid؛ Acute؛ Hepatic veno-occlusive disease؛ Pericardial effusion | ||
| اصل مقاله | ||
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How to cite this article: Abdolkarimi B, Hashemieh M, Amin A. Life-saving effect of corticosteroid and colchicine combination in acute myeloid leukemia: Case report. Middle East J Cancer. 2022;13(3):556-63-. doi: 10.30476/mejc.2022.87974.1449.
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