Article
Control of thrombotic thrombocytopenic purpura by sirolimus in a child with juvenile myelomonocytic leukemia and somatic N-RAS mutation.
Pediatric blood & cancer - 1 Oct 2014
Maschan Michael, Bobrynina Vlasta, Khachatryan Lili, Kalinina Irina, Solopova Galina, Avdonin Pavel, Nasedkina Tatiana, Novichkova Galina, Maschan Alexei
Abstract excerpt
We describe an infant who developed juvenile myelomonocytic leukemia (JMML) at the age of 6 months. Myeloproliferation was effectively controlled by low-dose cytosine arabinoside and 13-cis retinoic acid therapy. Two years after therapy for JMML was stopped, at the age of 5 years, the patient developed autoimmune thrombotic thrombocytopenic purpura (TTP). TTP was transiently controlled by plasma exchange,...
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