Acute tumour lysis syndrome following a single-dose corticosteroid in children with acute lymphoblastic leukaemia.

Abstract:

:Acute tumour lysis syndrome (ATLS) is a well recognised complication of treatment of a variety of malignant disorders. It commonly occurs in patients with non-Hodgkin's lymphoma (NHL) and acute lymphoblastic leukaemia (ALL) with the administration of combined cytotoxic chemotherapy. It is rarely reported after single-agent corticosteroid therapy. We present two children with acute lymphoblastic leukaemia of T-cell lineage who developed acute tumour lysis syndrome after a single dose of prednisolone, and methylprednisolone at the beginning of the induction chemotherapy. In the first case (an 11-yr-old) ATLS had occurred after an oral dose of prednisolone as small as 12 mg and within 18 h. The second case was a 14-yr-old boy with ALL who developed ATLS following a single dose of methylprednisolone. A few similar cases in the English literature are summarised in the report. These cases indicate that acute tumour lysis syndrome may occur after a single dose of corticosteroids. One should be aware of this potentially life-threatening complication especially while prescribing corticosteroids to patients with NHL and leukaemia.

journal_name

Eur J Haematol

authors

Duzova A,Cetin M,Gümrük F,Yetgin S

doi

10.1034/j.1600-0609.2001.066006404.x

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

404-7

issue

6

eissn

0902-4441

issn

1600-0609

pii

ejh442

journal_volume

66

pub_type

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