Source:http://linkedlifedata.com/resource/pubmed/id/15838670
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2005-6-7
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pubmed:abstractText |
Pharmacological agents such as hydroxyurea (HU) have been known to cause induction of fetal hemoglobin and possibly may alleviate the symptoms in thalassemia intermedia patients. Thirty-seven patients with beta-thalassemia intermedia were enrolled to assess response to HU therapy. Major response was defined as transfusion independence or hemoglobin rise of more than 20 g/l and minor response as rise in hemoglobin of 10-20 g/l or reduction in transfusion frequency by 50%. The median age was 10 years (range: 4-50 years) and median follow-up was 12 months (range: 4-36 months). Twenty-six patients (70.2%) showed response to HU therapy. Seventeen patients (45.9%) were major responders, and nine patients (24.3%) showed minor response. There was no correlation of response with beta-thalassemia mutation or XmnI polymorphism; however, the presence of alpha(3.7) deletion was associated with major response in three patients. Mean fetal hemoglobin (HbF) levels rose on HU therapy. Older age, low baseline F cell percent, and low baseline HbF levels (below 10%) were predictors of poor response. Response was evident within 1 month of starting HU therapy in the majority of responders. Thus, a short trial of HU therapy can predict durable response.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0939-5555
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
84
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
441-6
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:15838670-Administration, Oral,
pubmed-meshheading:15838670-Adolescent,
pubmed-meshheading:15838670-Adult,
pubmed-meshheading:15838670-Antineoplastic Agents,
pubmed-meshheading:15838670-Child,
pubmed-meshheading:15838670-Child, Preschool,
pubmed-meshheading:15838670-Erythroid Precursor Cells,
pubmed-meshheading:15838670-Female,
pubmed-meshheading:15838670-Gene Expression Regulation,
pubmed-meshheading:15838670-Hematopoiesis,
pubmed-meshheading:15838670-Hemoglobins,
pubmed-meshheading:15838670-Humans,
pubmed-meshheading:15838670-Hydroxyurea,
pubmed-meshheading:15838670-Male,
pubmed-meshheading:15838670-Middle Aged,
pubmed-meshheading:15838670-Polymorphism, Restriction Fragment Length,
pubmed-meshheading:15838670-beta-Thalassemia
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pubmed:year |
2005
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pubmed:articleTitle |
Hydroxyurea in thalassemia intermedia--a promising therapy.
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pubmed:affiliation |
Department of Haematology, All India Institute of Medical Sciences, New Delhi, India.
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pubmed:publicationType |
Journal Article,
Clinical Trial
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