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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1996-2-8
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pubmed:abstractText |
In four of 14 patients with acute lymphoblastic leukemia (ALL) who received induction chemotherapy containing weekly injections of vincristine and simultaneous antifungal prophylaxis with itraconazole, unusually severe and early vincristine-induced neurotoxicity was observed. In these patients (three female, one male) paresthesia and muscle weakness of the upper/lower extremities and paralytic ileus occurred after the first or second vincristine injection. In one patient a laryngeal nerve paresis required mechanical ventilation. The neurotoxic complications were more serious than those seen in a previous series of 460 ALL patients under the identical cytostatic regimen but without itraconazole prophylaxis. The underlying mechanism is unclear. Interaction with the cytochrome P-450 system, reversal of multidrug resistance, and influence of estrogens are to be considered.
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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
|
pubmed:month |
Dec
|
pubmed:issn |
0939-5555
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
71
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
311-2
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8534764-Adolescent,
pubmed-meshheading:8534764-Adult,
pubmed-meshheading:8534764-Antifungal Agents,
pubmed-meshheading:8534764-Antineoplastic Agents, Phytogenic,
pubmed-meshheading:8534764-Drug Interactions,
pubmed-meshheading:8534764-Female,
pubmed-meshheading:8534764-Humans,
pubmed-meshheading:8534764-Itraconazole,
pubmed-meshheading:8534764-Male,
pubmed-meshheading:8534764-Muscle Weakness,
pubmed-meshheading:8534764-Paresthesia,
pubmed-meshheading:8534764-Precursor Cell Lymphoblastic Leukemia-Lymphoma,
pubmed-meshheading:8534764-Vincristine
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pubmed:year |
1995
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pubmed:articleTitle |
Aggravation of vincristine-induced neurotoxicity by itraconazole in the treatment of adult ALL.
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pubmed:affiliation |
Medizinische Klinik III, J.W. Goethe-Universität, Frankfurt, Germany.
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pubmed:publicationType |
Journal Article,
Case Reports
|