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Correspondence
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Volume 330:140-141 January 13, 1994 Number 2
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Acute Promyelocytic Leukemia

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 by Warrell, R. P.
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To the Editor: Warrell et al. (July 15 issue)1 do an excellent job of correlating the molecular and clinical aspects of acute promyelocytic leukemia. Less convincing, however, is their attribution of a "syndrome characterized by fever, respiratory distress, radiographic pulmonary infiltrates, pleural effusions, and weight gain" with "extensive infiltration of myeloid cells" to the administration of all-trans-retinoic acid. Before retinoic acid was used in the treatment of acute promyelocytic leukemia, fever and pulmonary manifestations of capillary leakage were described in patients with acute myeloid leukemia with or without hyperleukocytosis2,3 and ascribed to the invasiveness of promyeloblasts or the release of . . . [Full Text of this Article]

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