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BRIEF REPORT

Reversible Neurologic Toxicity in Patients Treated with Standard-Dose Fludarabine Phosphate for Mycosis Fungoides and Chronic Lymphocytic Leukemia

right arrow Roger B. Cohen; Jorge M. Abdallah; James R. Gray; and Francine Foss

15 January 1993 | Volume 118 Issue 2 | Pages 114-116

Fludarabine phosphate is approved for the treatment of advanced B-cell chronic lymphocytic leukemia refractory to alkylating agents. We report two cases of disabling but reversible neurotoxicity in a patient with mycosis fungoides and a patient with chronic lymphocytic leukemia who received standard doses of fludarabine [20 to 25 mg/m2 per day for 5 days] every 28 days for 6 to 8 cycles). Serial brain magnetic resonance imaging scans in the patient with mycosis fungoides showed rapid evolution of white-matter changes with subsequent complete resolution.

Author and Article Information
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From the National Naval Medical Center and the National Cancer Institute, Bethesda, Maryland.
Requests for Reprints: Roger B. Cohen, MD, NCI/Navy Medical Oncology Branch, National Naval Medical Center, Bethesda, MD 20889.




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