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  • Title: L-asparaginase-induced coagulopathy in children with acute lymphoblastic leukaemia.
    Author: Miniero R, Saracco P, Einaudi S, Garofalo F, Lange MM, Madon E.
    Journal: Drugs Exp Clin Res; 1987; 13(6):377-9. PubMed ID: 3477418.
    Abstract:
    Haemostatic changes induced with vincristine (VCR), prednisone (PDN) and L-asparaginase (L-ase) in 53 children with ALL were prospectively evaluated. Relative to pretreatment values, mean FG concentration diminished significantly in the first week with a minimal level in the third week and PT was prolonged during the first weeks of induction. APTT decreased significantly in the last week and after cessation of L-ase therapy. Mean concentration of factor VIII remained elevated during the entire period of L-ase therapy. Three children (5.6%) developed a cerebral thrombo/haemorrhagic complication. These data demonstrate that the tendency for thrombosis is the predominant clinical manifestation of L-ase-induced coagulopathy, when the drug is associated with VCR and PDN.
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