To the Editor: Thalidomide has recently been shown to be effectivefor the treatment of refractory myeloma.1,2 We report a caseof life-threatening toxic epidermal necrolysis with the combineduse of thalidomide and dexamethasone in a patient with previouslyuntreated myeloma.
A 64-year-old man with newly diagnosed myeloma presented withmultiple lytic bone lesions, anemia, and hypercalcemia, witha serum IgA-lambda monoclonal protein level of 41 g per literand 90 percent plasma cells in the bone marrow. After obtaininginformed consent, we initiated treatment with thalidomide anddexamethasone as part of an ongoing phase 2 trial. The patientreceived . . . [Full Text of this Article]
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