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Correspondence
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Volume 332:1520-1521 June 1, 1995 Number 22
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Isotretinoin for Juvenile Chronic Myelogenous Leukemia

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 by Castleberry, R. P.
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To the Editor: Castleberry and coworkers (Dec. 22 issue)1 report that isotretinoin (13-cis-retinoic acid) may induce long-term responses in some patients with juvenile chronic myelogenous leukemia. In this study of 10 children, isotretinoin induced complete remissions in 2, partial remissions in 3, and a minimal response in 1; the remaining 4 patients had progressive disease. Among the seven patients who did not undergo subsequent bone marrow transplantation, one was still in continuous complete remission 83 months later and two had had stable disease for 36 and 37 months while receiving isotretinoin. The authors could not identify any clinical . . . [Full Text of this Article]

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