Acute Promyelocytic Leukemia and Brugada Syndrome: A Report on the Safety of Arsenic Trioxide/All-Trans-Retinoic Acid Therapy.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Giorgio Rosati, Sofia Camerlo, Matteo Dalmazzo, Melissa Padrini, Tiziano Tommaso Busana, Marco De Gobbi, Alessandro Fornari, Alessandro Morotti
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Abstract

Acute promyelocytic leukemia (APL) is a rare and aggressive form of acute myeloid leukemia (AML). Instead of cytotoxic chemotherapy, a combination of all-trans-retinoic acid (ATRA) and arsenic trioxide (ATO) represents front-line therapy in low-risk patients. However, the therapeutic approach could be challenging in the case of a concomitant diagnosis of Brugada syndrome (BrS), a genetic disease characterized by an increased risk of arrhythmias and sudden cardiac death. Here, we present the case of a BrS patient who has been diagnosed with low-risk APL and treated with ATRA and ATO without observing arrhythmic events. In particular, we highlight the difficulties encountered by clinicians during the diagnostic work-up and the choice of the best treatment for these patients.

Abstract Image

Abstract Image

急性早幼粒细胞白血病和Brugada综合征:三氧化二砷/全反式视黄酸治疗的安全性报告。
急性早幼粒细胞白血病(APL)是一种罕见的侵袭性急性髓性白血病(AML)。代替细胞毒性化疗,全反式维甲酸(ATRA)和三氧化二砷(ATO)的联合治疗代表了低风险患者的一线治疗。然而,如果同时诊断为Brugada综合征(BrS),则治疗方法可能具有挑战性,Brugada综合征是一种以心律失常和心源性猝死风险增加为特征的遗传性疾病。在这里,我们提出了一例BrS患者,他被诊断为低风险APL,并接受ATRA和ATO治疗,但未观察到心律失常事件。特别是,我们强调临床医生在诊断检查和选择这些患者的最佳治疗时遇到的困难。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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