9 research outputs found
Unusual Combination of Tracheobronchopathia Osteochondroplastica and AA Amyloidosis
Tracheobronchopathia osteochondroplastica (TO) is a rare disorder of unknown cause characterized by the presence of multiple submucosal osseous and/or cartilaginous nodules that protrude into the lumen of the trachea and large bronchi. A simultaneous diagnosis of TO and amyloidosis is rarely reported. In this report, a case initially suspected to be asthma bronchiole that could not be treated, was radiologically diagnosed as TO, and also secondary amyloidosis is presented. A 53 years, man patient reported a 3 years history of dyspnea. Pulmonary function tests (PFTs) showed an obstructive pattern. Chest X-rays revealed right middle lobe atelectasis. FOB and CT detected nodular lesions in the trachea and in the anterior and lateral walls of the main bronchi. AA amyloidosis was confirmed by endobronchial biopsy. In the abdominal fat pad biopsy, amyloidosis was not detected. Asthma bronchiole was excluded by PFTs. This case illustrates that it is possible for TO and amyloidosis to masquerade as asthma. TO and amyloidosis should be suspected in patients of older ages with asthma and especially with poorly treated asthmatic patients. Although nodular lesions in the anterior and lateral tracheobronchial walls are typical for TO, a biopsy should be obtained to exclude amyloidosis
Erratum to: High-risk mesothelioma relation to meteorological and geological condition and distance from naturally occurring asbestos
Prognostic value of the lymphocyte-to-monocyte ratio and other inflammatory markers in malignant pleural mesothelioma
High-risk mesothelioma relation to meteorological and geological condition and distance from naturally occurring asbestos
Relationship between hepcidin levels and periodic limb movement disorder in patients with obstructive sleep apnea syndrome
Ist ein komplettes Blutbild bei der Beurteilung der Prognose einer Pulmonalembolie nützlich?
A Multi-Center Study on the Efficacy of Eltrombopag in Management of Refractory Chronic Immune Thrombocytopenia: A Real-Life Experience
Objective: The aim of the present study was to evaluate the efficacy and safety of eltrombopag, an oral thrombopoietin receptor agonist, in patients with chronic immune thrombocytopenia (ITP)
A Multi-Center Study on the Efficacy of Eltrombopag in Management of Refractory Chronic Immune Thrombocytopenia: A Real-Life Experience
Objective: The aim of the present study was to evaluate the efficacy and
safety of eltrombopag, an oral thrombopoietin receptor agonist, in
patients with chronic immune thrombocytopenia (ITP).
Materials and Methods: A total of 285 chronic ITP patients (187 women,
65.6 \%; 98 men, 34.4\%) followed in 55 centers were enrolled in this
retrospective cohort. Response to treatment was assessed according to
platelet count (/mm(3)) and defined as complete (platelet count of
>100,000/mm(3)), partial (30,000-100,000/mm(3) or doubling of platelet
count after treatment), or unresponsive (<30,000/mm(3)). Clinical
findings, descriptive features, response to treatment, and side effects
were recorded. Correlations between descriptive, clinical, and
hematological parameters were analyzed.
Results: The median age at diagnosis was 43.9 +/- 20.6 (range: 3-95)
years and the duration of follow-up was 18.0 +/- 6.4 (range: 6-28.2)
months. Overall response rate was 86.7\% (n=247). Complete and partial
responses were observed in 182 (63.8\%) and 65 (22.8\%) patients,
respectively. Thirty-eight patients (13.4\%) did not respond to
eltrombopag treatment. For patients above 60 years old (n=68), overall
response rate was 89.7\% (n=61), and for those above 80 years old
(n=12), overall response rate was 83\% (n=10). Considering thrombocyte
count before treatment, eltrombopag significantly increased platelet
count at the 1st, 2nd, 3rd, 4th, and 8th weeks of treatment. As the time
required for partial or complete response increased, response to
treatment was significantly reduced. The time to reach the maximum
platelet levels after treatment was quite variable (1-202 weeks).
Notably, the higher the maximum platelet count after eltrombopag
treatment, the more likely that side effects would occur. The most
common side effects were headache (21.6\%), weakness (13.7\%),
hepatotoxicity (11.8\%), and thrombosis (5.9\%).
Conclusion: Results of the current study imply that eltrombopag is an
effective therapeutic option even in elderly patients with chronic ITP.
However, patients must be closely monitored for response and side
effects during treatment. Since both response and side effects may be
variable throughout the follow-up period, patients should be evaluated
dynamically, especially in terms of thrombotic risk factors