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Androgen therapy in inherited bone marrow failure syndromes: analysis from the Canadian Inherited Marrow Failure Registry.
- Source :
-
British journal of haematology [Br J Haematol] 2020 Jun; Vol. 189 (5), pp. 976-981. Date of Electronic Publication: 2020 Mar 03. - Publication Year :
- 2020
-
Abstract
- Progressive cytopenia is a serious complication among paediatric patients with inherited bone marrow failure syndromes (IBMFS). Androgens have been used to improve blood counts in different bone marrow failure conditions. Little is known about efficacy and toxicity with new androgens (i.e., danazol) in different types of IBMFS. We identified 29 patients from the Canadian Inherited Marrow Failure Registry, who received oxymetholone or danazol. Sixteen (55%) had haematological response including patients with unclassified IBMFS (45%). Danazol showed a better toxicity profile and similar efficacy compared to oxymetholone. Androgens are an effective and safe option to ameliorate bone marrow failure in IBMFS.<br /> (© 2020 British Society for Haematology and John Wiley & Sons Ltd.)
- Subjects :
- Adolescent
Adult
Androgens adverse effects
Bone Marrow Failure Disorders blood
Bone Marrow Failure Disorders genetics
Bone Marrow Failure Disorders therapy
Canada epidemiology
Cell Lineage
Child
Child, Preschool
Combined Modality Therapy
Danazol adverse effects
Danazol therapeutic use
Disease Progression
Drug Substitution
Female
Hematopoietic Stem Cell Transplantation
Humans
Infant
Male
Middle Aged
Oxymetholone adverse effects
Oxymetholone therapeutic use
Pancytopenia drug therapy
Pancytopenia etiology
Registries
Thrombocytopenia drug therapy
Thrombocytopenia etiology
Treatment Outcome
Virilism chemically induced
Androgens therapeutic use
Bone Marrow Failure Disorders drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1365-2141
- Volume :
- 189
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- British journal of haematology
- Publication Type :
- Academic Journal
- Accession number :
- 32128787
- Full Text :
- https://doi.org/10.1111/bjh.16445