General fitness, health and nutrition · Public discussion

Paradoxically curing the patient

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General fitness, health and nutrition
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26 May 2007
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  1. <<snip>>
    resulting in long-lasting transfusion-free survival
    <<snip>>

    Correction of anemia in a transfusion-dependent patient with primary
    myelofibrosis receiving iron chelation therapy with deferasirox
    (Exjade®, ICL670)
    Authors: Di Tucci, Anna Angela1; Murru, Roberta1; Alberti, Daniele2;
    Rabault, Bertrand2; Deplano, Simona1; Angelucci, Emanuele1

    Source: European Journal of Haematology, Volume 78, Number 6, June
    2007, pp. 540-542(3)

    Publisher: Blackwell Publishing
    Abstract:

    Transfusional iron overload in patients with chronic anemias can
    result in multiple organ failure. Experience in the management of iron
    overload in patients with myelodysplastic syndromes is limited, as
    many do not receive chelation therapy due to short-life expectancy and
    the difficulties associated with the administration of the current
    reference standard chelator, deferoxamine. There have, however, been
    some reports of reduced transfusion requirement associated with
    chelation therapy in patients with myelodysplastic syndromes and
    myelofibrosis. Here, we discuss a patient with primary myelofibrosis
    and related transfusion-dependent anemia who received chelation
    therapy with the once-daily oral iron chelator, deferasirox. In
    addition to the reduced iron levels, the patient demonstrated an
    unexpected reduction in blood transfusion requirement, ultimately
    resulting in long-lasting transfusion-free survival.
    Keywords: myelofibrosis; iron overload; chelation

    Document Type: Research article

    DOI: 10.1111/j.1600-0609.2007.00840.x

    Affiliations: 1: Unità Operativa Ematologia e Centro Trapianti Midollo
    Osseo, Ospedale Oncologico `Armando Businco', Cagliari, Italy 2:
    Novartis Pharma AG, Basel, Switzerland

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