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Long-term interferon therapy for thrombocytosis in myeloproliferative diseases.

Abstract
31 patients with thrombocytosis associated with myeloproliferative disorders were included in a prospective trial of long-term interferon therapy. 6 patients (19%) had side-effects which required withdrawal of interferon within one year. 22 patients (71%) achieved and maintained a complete response (platelet count less than 440 x 10(9)/l) for at least twelve months, with reduction or abolition of symptoms associated with thrombocytosis and a significant fall in bone-marrow megakaryocytes. At twelve months, 25 patients were randomly allocated to maintenance or withdrawal of interferon. Thrombocytosis recurred rapidly when treatment was stopped, but a second remission could be achieved by resumption of interferon therapy.
AuthorsH Gisslinger, H Ludwig, W Linkesch, A Chott, E Fritz, T Radaszkiewicz
JournalLancet (London, England) (Lancet) Vol. 1 Issue 8639 Pg. 634-7 (Mar 25 1989) ISSN: 0140-6736 [Print] ENGLAND
PMID2564458 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Interferon Type I
Topics
  • Aged
  • Aged, 80 and over
  • Bone Marrow Examination
  • Clinical Trials as Topic
  • Female
  • Humans
  • Interferon Type I (adverse effects, therapeutic use)
  • Male
  • Megakaryocytes
  • Middle Aged
  • Myeloproliferative Disorders (blood, complications)
  • Platelet Count (drug effects)
  • Random Allocation
  • Recurrence
  • Remission Induction
  • Thrombocytosis (blood, etiology, therapy)
  • Time Factors

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