The optimal management of hairy cell leukaemia.

Abstract:

:Hairy cell leukaemia is an uncommon B cell chronic lymphoproliferative disorder characterised by circulating lymphocytes displaying prominent cytoplasmic projections. Therapy is initiated for severe cytopenias or recurrent infections. Splenectomy, the first standard treatment, is now less commonly used as primary treatment. Interferon-alpha (IFN alpha) induces partial responses in most patients but complete responses in only a few. Adverse effects from IFN alpha are common but not life-threatening. The ability of two newer purine analogues, pentostatin (2'-deoxycoformycin) and cladribine (2-chlorodeoxyadenosine), to induce long-lasting complete remissions in the majority of patients has revolutionised the treatment of this disease. Cladribine is emerging as the treatment of choice because of its favourable toxicity profile, brief duration of treatment, high percentage of unmaintained complete remissions and low incidence of relapse.

journal_name

Drugs

journal_title

Drugs

authors

Gollard R,Lee TC,Piro LD,Saven A

doi

10.2165/00003495-199549060-00006

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

921-31

issue

6

eissn

0012-6667

issn

1179-1950

journal_volume

49

pub_type

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