Abstract:
:The treatment of polycythemia vera in young adults is challenging, requiring one to run a balance between the increased risk of vascular complications, if left untreated, versus the potential of promoting secondary leukemia/myelodysplasia or cancer, if actively managed with chemotherapy. We report the results of a 20-year retrospective analysis in a cohort of 30 young adults with PV (median age 37 years, range 19-45) treated exclusively with phlebotomy, aspirin and hydroxyurea only in case of vascular complications occurring in the presence of thrombocytosis (platelet count > 600 × 10(9)/L). With this approach, vascular complications were no higher than in other published series, and secondary leukemia/myelodysplasia or cancer was not observed during a follow-up of 14 years.
journal_name
Intern Emerg Medjournal_title
Internal and emergency medicineauthors
Ruggeri M,Finotto S,Fortuna S,Rodeghiero Fdoi
10.1007/s11739-010-0429-ysubject
Has Abstractpub_date
2010-10-01 00:00:00pages
411-3issue
5eissn
1828-0447issn
1970-9366journal_volume
5pub_type
杂志文章abstract::The idea of using small RNA fragments (oligonucleotides) for therapeutic purposes dates back to the 1990s, following the landmark discoveries on the mechanisms of gene silencing and RNA-interference (RNA-i). However, the first applications in medicine were hampered by difficulties in chemical stabilization and efficie...
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更新日期:2014-12-01 00:00:00
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journal_title:Internal and emergency medicine
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doi:10.1007/BF02936543
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