title: [The combination therapy with vinca-alkaloid slow infusion and cholchicine was effective to refractory idiopathic thrombocytopenic purpura. The patient could receive femoral head replacement in safety].
abstract: A 46-year-old man with idiopathic thrombocytopenic purpura (ITP) refractory to corticosteroid, splenectomy and other drugs was admitted to our hospital in August, 1994, because of aseptic necrosis of the right femoral head. Although high-dose intravenous gamma-globulin was ineffective, the platelet count was increased within two weeks by the combination therapy that consisted of 0.02 mg/kg vincristine alternating with 0.1 mg/kg vinblastine by slow infusion at a 1-week interval, and oral 1.5 mg/day colchicine. He subsequently underwent the femoral head replacement. This combination therapy seems to be useful for refractory ITP in preparation for surgery.
authors.affiliation: Second Department of Internal Medicine, Chiba University, School of Medicine.
authors.forename: M
authors.initials: M
authors.lastname: Nezu
authors.forename: H
authors.initials: H
authors.lastname: Oh
authors.forename: R
authors.initials: R
authors.lastname: Cho
authors.forename: H
authors.initials: H
authors.lastname: Sato
authors.forename: T
authors.initials: T
authors.lastname: Ikegami
authors.forename: A
authors.initials: A
authors.lastname: Yokota
authors.forename: C
authors.initials: C
authors.lastname: Nakaseko
authors.forename: M
authors.initials: M
authors.lastname: Nishimura
authors.forename: Y
authors.initials: Y
authors.lastname: Matsuura
authors.forename: S
authors.initials: S
authors.lastname: Morio
authors.forename: K
authors.initials: K
authors.lastname: Hiruma
authors.forename: H
authors.initials: H
authors.lastname: Nakamura
authors.forename: T
authors.initials: T
authors.lastname: Asai
mesh_terms: D003078:Colchicine / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D006622:Hip Prosthesis; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000188:drug therapy*; D014747:Vinblastine / Q000008:administration & dosage; D014748:Vinca Alkaloids / Q000008:administration & dosage*; D014750:Vincristine / Q000008:administration & dosage
chemical_list: D014748:Vinca Alkaloids; D014750:Vincristine; D014747:Vinblastine; D003078:Colchicine