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Life-Threatening Tumor Lysis Syndrome Within 12 Hours of a Single Dose of Corticosteroid in a Patient with Lymphoma

机译:淋巴瘤患者单次服用皮质类固醇激素后12个小时内威胁生命的肿瘤溶解综合征

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摘要

Tumor lysis syndrome is an oncologic emergency characterized by electrolyte derangements and the frequent development of acute renal failure. We describe a patient with acute lymphoblastic lymphoma in whom rapid and severe tumor lysis syndrome developed within 10 h of the administration of a single dose of corticosteroid. Our case and a review of the literature indicate that patients with lymphoproliferative malignancies given a single dose of corticosteroid may be at significant risk for rapid and life-threatening tumor lysis syndrome. We recommend that such patients receive aggressive and frequent laboratory monitoring even in the setting of appropriate prophylaxis.
机译:肿瘤溶解综合征是一种以肿瘤电解质紊乱和急性肾功能衰竭的频繁发生为特征的肿瘤急症。我们描述了患有急性淋巴细胞性淋巴瘤的患者,其中在单剂皮质类固醇给药后10小时内出现了快速而严重的肿瘤溶解综合征。我们的案例和文献综述表明,单剂量给予皮质类固醇激素的淋巴增生性恶性肿瘤患者可能会面临快速且危及生命的肿瘤溶解综合征的重大风险。我们建议即使在采取适当的预防措施的情况下,此类患者也应接受积极主动的频繁实验室检查。

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