A Boy Safely Treated with Tyrosine Kinase Inhibitors for Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia with Osteolysis
Acta Med Okayama. 2023 Aug;77(4):439-442. doi: 10.18926/AMO/65757.ABSTRACTA three-year-old boy with Philadelphia chromosome-positive B-cell precursor acute lymphoblastic leukemia (Ph+ALL) presented with an osteolytic lesion in his right upper arm. Tyrosine kinase inhibitors (TKIs) such as imatinib and dasatinib are an essential component throughout the course of treatment for Ph+ALL. However, TKIs are reported to affect the bone metabolism. In the treatment course of the current patient, the osteolytic lesion quickly improved despite the continuous use of TKIs, even during the concomitant use of corticosteroids. This suggests that TKIs can be safely given with concomitant corticosteroids to children with Ph+ALL, even when osteolytic lesions are present.PMID:37635146 | DOI:10.18926/AMO/65757
Source: Acta Med Okayama - Category: Universities & Medical Training Authors: Takahiro Shiwaku Hisashi Ishida Yasuhisa Tatebe Kosuke Tamefusa Motoharu Ochi Kaori Fujiwara Toshihide Kubo Eiji Nakata Kana Washio Hirokazu Tsukahara Source Type: research