title: Molecular remission without blood product support using all-trans retinoic acid (ATRA) induction and combined arsenic trioxide/ATRA consolidation in a Jehovah's Witness with de novo acute promyelocytic leukaemia.
abstract: Arsenic trioxide has recently been used in the treatment of both relapsed and de novo acute promyelocytic leukaemia (APML). Molecular remissions have been attained using arsenic trioxide with minimal associated haematological toxicity, making protocols utilizing this drug an attractive option for Jehovah's Witnesses with APML. A 62-year-old female Jehovah's Witness with de novo APML was treated with all-trans retinoic acid induction followed by combined arsenic trioxide/ATRA consolidation, and achieved molecular remission with minimal haematological toxicity and no blood product support.
authors.affiliation: Department of Haematology, Princess Alexandra Hospital, Brisbane, Australia.
authors.forename: G A
authors.initials: GA
authors.lastname: Kennedy
authors.forename: P
authors.initials: P
authors.lastname: Marlton
authors.forename: R
authors.initials: R
authors.lastname: Cobcroft
authors.forename: D
authors.initials: D
authors.lastname: Gill
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use*; D000077237:Arsenic Trioxide; D001152:Arsenicals / Q000627:therapeutic use*; D001854:Bone Marrow Cells / Q000473:pathology; D002835:Christianity; D020732:Cytogenetic Analysis; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D015473:Leukemia, Promyelocytic, Acute / Q000188:drug therapy* / Q000235:genetics / Q000473:pathology; D007958:Leukocyte Count; D008875:Middle Aged; D010087:Oxides / Q000627:therapeutic use*; D010976:Platelet Count; D020133:Reverse Transcriptase Polymerase Chain Reaction; D014212:Tretinoin / Q000627:therapeutic use*
chemical_list: D000970:Antineoplastic Agents; D001152:Arsenicals; D010087:Oxides; D014212:Tretinoin; D000077237:Arsenic Trioxide