Chapter 104. Acute and Chronic Myeloid Leukemia (Part 16) Interferon Before imatinib, when allogeneic SCT was not feasible, IFN-α therapy was the treatment of choice. Only longer follow-up of patients treated with imatinib will prove whether IFN-α will still have a role in the[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 4) Clinical Presentation Symptoms Patients with AML most often present with nonspecific symptoms that begin gradually or abruptly and are the consequence of anemia, leukocytosis, leukopenia or leukocyte dysfunction, o[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 13) Chronic Myelogenous Leukemia: Treatment The therapy of CML is changing rapidly because we have a proven curative treatment (allogeneic transplantation) that has significant toxicity and a new targeted treat[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 12) Clinical Presentation Symptoms The clinical onset of the chronic phase is generally insidious. Accordingly, some patients are diagnosed while still asymptomatic, during health-screening tests; other patients prese[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 11) Chronic Myelogenous Leukemia Incidence The incidence of chronic myelogenous leukemia (CML) is 1.5 per 100,000 people per year, and the age-adjusted incidence is higher in men than in women (2.0 versu[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 14) The Patient Patients should have acceptable end-organ function, be <70 years, and have a healthy, histocompatible donor. Furthermore, survival after SCT in the accelerated and blastic phases of the d[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 9) Treatment of Promyelocytic Leukemia Tretinoin is an oral drug that induces the differentiation of leukemic cells bearing the t(15;17). APL is responsive to cytarabine and daunorubicin, but about 10% of patients tre[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 8) The hematologic toxicity of high-dose cytarabine-based induction regimens has typically been greater than that associated with 7 and 3 regimens. Toxicity with high-dose cytarabine includes myelosuppression, pulmona[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 15) Posttransplantation Treatment BCR/ABL transcript levels have served as early predictors for hematologic relapse following transplantation. These should facilitate risk-adapted approaches with immunosuppression or TK inhi[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 7) Acute Myeloid Leukemia: Treatment Treatment of the newly diagnosed patient with AML is usually divided into two phases, induction and postremission management (Fig. 104-2). The initial goal is to quickly ind[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 2) Table 104-1 Acute Myeloid Leukemia (AML) Classification Systems World Health Organization Classificationa I. AML with recurrent genetic abnormalities AML with t(8;21)(q22;q22);RUNX1/RUNX1T1b AML with abnormal bone[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 1) Harrison's Internal Medicine > Chapter 104. Acute and Chronic Myeloid Leukemia Acute and Chronic Myeloid Leukemia: Introduction The myeloid leukemias are a heterogeneous gr[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 3) Immunophenotype and Relevance to the WHO Classification The immunophenotype of human leukemia cells can be studied by multiparameter flow cytometry after the cells are labeled with monoclonal antibodies to cell-sur[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 5) Morphology of AML cells. A. Uniform population of primitive myeloblasts with immature chromatin, nucleoli in some cells, and primary cytoplasmic granules. B. Leukemic myeloblast containing an Auer rod. C. Promyeloc[r]
Chapter 104. Acute and Chronic Myeloid Leukemia (Part 6) Most patients are anemic and thrombocytopenic at presentation. Replacement of the appropriate blood components, if necessary, should begin promptly. Because qualitative platelet dysfunction or the presence of an in[r]
develop cytoplasmic actin filaments for cell migration.41–43Stimulated by EGF, TGF-a, KGF, TGF-b1, hepatocyte growthfactor (HGF) and IGF-1, cell migration toward the wound’scentral point, called shuffling, takes place.44 Hereby, TGF-b1is a key cytokine as it controls the expression of[r]
Chapter 098. Iron Deficiency and Other Hypoproliferative Anemias (Part 9) Anemia of Acute and Chronic Inflammation/Infection (the Anemia of Chronic Disease) The anemia of chronic disease—which encompasses inflammation, infection, tissue injury, and c[r]
the 20–22 mmol/L range. Controversy exists, however, in regard to the use of alkali in patients with a pure AG acidosis owing to accumulation of a metabolizable organic acid anion (ketoacidosis or lactic acidosis). In general, severe acidosis (pH < 7.20) warrants the IV administration of 50–1[r]
back pain with and without radicular involvement. Br Med J 3:158–16040. Karjalainen K, Malmivaara A, van Tulder M, Roine R, Jauhiainen M, Hurri H, Koes B (2000)Multidisciplinary biopsychosocial rehabilitation for subacute low back pain among work-ing age adults. Cochrane Database Syst Rev:CD0[r]
aminotransferases will normalize in about 40% of patients. Loss of HCV RNA, which indicates a hepatitis C cure, occurs in fewer than 20% of patients. Fulminant hepatic failure due to acute HCV This is trial versionwww.adultpdf.com16 | Hepatitis C Guide infection may happen in patients with un[r]