To the Editor: Charache et al. (May 18 issue)1 reported on theefficacy of hydroxyurea in ameliorating some of the complicationsof sickle cell anemia. In a randomized, double-blind setting,hydroxyurea treatment was associated with a reduced frequencyof vaso-occlusive crises, acute chest syndrome, and transfusions,but not of stroke, hepatic sequestration, or death. As the authorsemphasized, the encouraging results of this study must be balancedby concern over the carcinogenic or leukemogenic potential oflong-term hydroxyurea therapy.
In an accompanying editorial, Schechter and Rodgers2 state,"There has been extensive experience with [hydroxyurea's] long-termuse at slightly higher . . . [Full Text of this Article]
References
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