Hyperleucocytosis in children with acute mieloid leukemia

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Abstract

This article presents analysis of recent publications on hyperleukocytosis in children with AML. The mechanisms of the development of life-threatening complications accompanying hyperleukocytosis are analyzed in detail. In this review of the literature, the authors focus on the adequacy and timing of therapy for such life-threatening complications of hyperleukocytosis as leukostasis, DIC, and acute tumor lysis syndrome. The authors emphasize that in the treatment of hyperleukocytosis an important place, in addition to specific therapy, is taken by the accompanying therapy in the intensive care unit. The place of replacement blood transfusions and leukopheresis as part of the accompanying therapy is discussed.

About the authors

N. V. Zacharov

Krasnoyarsk Clinical Center of maternity and childhood

Krasnoyarsk Russian Federation

I. I. Kalinina

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

Author for correspondence.
Email: irina.kalinina@fccho-moscow.ru
ORCID iD: 0000-0002-0813-5626

MD, Pediatrician Hematologist, Department of Pediatric Hematology/Oncology,

117997, Moscow, Samory Mashela st., 1

Russian Federation

D. A. Venev

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0002-0183-1530
Москва Russian Federation

T. Y. Salimova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0002-2958-1705
Москва Russian Federation

D. A. Evseev

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0001-8610-0624
Москва Russian Federation

O. V. Goronkova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0001-8571-5395
Москва Russian Federation

A. A. Maschan

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0002-0016-6698
Москва Russian Federation

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Copyright (c) 2020 Zacharov N.V., Kalinina I.I., Venev D.A., Salimova T.Y., Evseev D.A., Goronkova O.V., Maschan A.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.