Skuteczna chemioterapia indukująco-konsolidująca u 20-letniej chorej na ostrą białaczkę promielocytową niewyrażającej zgody na przetoczenia preparatów krwiopochodnych z powodu przekonań religijnych

This paper describes a case of 20 years old woman with acute promyelocytic leukemia who refused to accept blood transfusion because of religious beliefs. Individualized induction chemotherapy with daunorubicin, cladribine, cytarabine and all-trans retinoic acid was administered and complete remission was achieved. Grade 4 leukopenia, anemia and thrombocytopenia was observed during induction chemotherapy. Then three consecutive consolidation cycles were given without important complications. In control molecular analysis after induction-consolidation therapy there was no PML-RARA fusion gene detected.