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- Title
Remission Induction of Refractory Anaemia with Excess Blasts in Transformation by Sole Treatment with Granulocyte Colony-Stimulating Factor with Persistent Chromosomal Abnormality.
- Authors
Kondo, Haruki; Kasahara, Yasunori; Mori, Akinori
- Abstract
We report a patient with myelodysplastic syndrome (MDS), refractory anaemia with excess blasts in transformation, in whom complete remission (CR) was achieved with the administration of granulocyte colony-stimulating factor (G-CSF). The 76-year-old patient was admitted to our hospital with a fever and a productive cough; a diagnosis of pneumonia was thus made. Following treatment with antibiotics, the patient’s condition improved, and MDS was diagnosed from peripheral blood and bone marrow examinations after the patient recovered from the infection. The patient achieved a sustained haematological CR that was confirmed by morphological and flow cytometric examination after treatment with G-CSF alone, although chromosomal abnormalities persisted. According to the literature, in almost all patients with acute myeloid leukaemia or MDS who were reported to achieve CR by G-CSF, the course was associated with infection, although our case did not have this complication during the course of G-CSF therapy. We suggest that patients with G-CSF alone without infection can achieve CR and that this may be related to a differentiation effect of G-CSF based on persistent chromosomal abnormality in this case.Copyright © 2002 S. Karger AG, Basel
- Subjects
GRANULOCYTES; COLONY-stimulating factors (Physiology); MYELODYSPLASTIC syndromes; APLASTIC anemia; LEUKEMIA
- Publication
Acta Haematologica, 2002, Vol 107, Issue 3, p177
- ISSN
0001-5792
- Publication type
Article
- DOI
10.1159/000057637