Hemolytic anemia in a cancer patient treated with recombinant interferon-gamma.

A P Rabinowitz, E Hu, K Watkins, A Mazumder
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Abstract

Currently, three classes of interferon are used in the treatment of malignancies. Interferon-gamma is the best studied. Bone marrow suppression as well as immune hemolytic anemia have been described. Heretofore, only bone marrow suppression has been attributed to interferon-gamma (IFN gamma). In this report, we describe a woman with lung cancer being treated with IFN gamma in whom acute hemolytic anemia occurred. Immune hemolysis did not appear to be the cause. We concluded that in addition to bone marrow suppression, hemolysis should be considered in a patient receiving IFN gamma in whom an unexplained drop in hematocrit occurs.

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重组干扰素治疗癌症患者的溶血性贫血。
目前,有三类干扰素用于治疗恶性肿瘤。干扰素是研究得最好的。骨髓抑制以及免疫性溶血性贫血已被描述。迄今为止,只有骨髓抑制归因于干扰素γ (IFN γ)。在这个报告中,我们描述了一个妇女肺癌治疗干扰素γ在急性溶血性贫血发生。免疫性溶血似乎不是病因。我们的结论是,除了骨髓抑制外,接受干扰素γ治疗的患者出现不明原因的红细胞压积下降时应考虑溶血。
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Interferon protects normal human granulocyte/macrophage colony-forming cells from Ara-C cytotoxicity. Effects of granulocyte colony-stimulating factor on hematopoietic injury induced by anticancer drugs in mice. Receptors for human plasminogen on the biological response modifier OK-432. A phase I study of high-dose interleukin-2 in combination with interferon-alpha 2b. Phase I trial of continuous infusion recombinant interleukin-2 and intermittent recombinant interferon-alpha 2a: clinical effects.
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