HCl

HCl
  • 文章类型: Journal Article
    该研究旨在通过使用电化学和理论方法来探索柠檬酸种子富含生物碱的提取物(CSEA)在1MHCl环境中对MS的防腐蚀能力。值得注意的是,使用电化学阻抗谱(EIS)和动电位极化来探测浸入时间和温度的影响。使用能量色散X射线光谱(EDX)和跨越电子显微镜(SEM)来确认基板表面上保护层的存在。密度泛函理论(DFT)方法用于使用B3LYP/6-31G(d,P)理论水平。计算了全局和局部量子化学反应性描述符,以探索抑制腐蚀效率并确定最有利于亲电和亲核攻击的位点。采用蒙特卡罗(MC)和分子动力学模拟(MDS)方法研究了缓蚀剂与金属表面的相互作用。值得注意的是,结果表明,CSEA表现出令人印象深刻的抑制效率,在298K浓度为2g/L时达到94.3%。动电位极化表明该提取物可作为混合型抑制剂。奈奎斯特图显示电荷转移电阻和覆盖层电容都随着CSEA浓度的增加而上升,表明更好的抑制效率。值得注意的是,Langmuir吸附等温线与抑制剂化合物的吸附完全一致。重要的是,所有上述理论方法与实验结果一致.本工作的结果支持使用Citrulluscolocynthis种子富含生物碱的提取物作为生态友好剂来防止腐蚀。
    The study was designed to explore the corrosion prevention capabilities of Citrullus colocynthis seeds alkaloid-rich extract (CSEA) on MS in a 1 M HCl environment by use of electrochemical and theoretical methods. Notably, Electrochemical Impedance Spectroscopy (EIS) and potentiodynamic polarization were used to probe the impact of immersion time and temperature. Energy-dispersive X-ray spectroscopy (EDX) and spanning electron microscopy (SEM) were used to confirm the presence of a protective layer on the substrate surface. Density functional theory (DFT) method was used to optimize the investigated species by use of B3LYP/6-31 + G(d, p) level of theory. The global and local quantum chemical reactivity descriptors were calculated to explore the inhibition corrosion efficiency and to identify the most favorable sites for electrophilic and nucleophilic attacks. Monte Carlo (MC) and molecular dynamics simulation (MDS) methods were used to study the interactions between corrosion inhibitor and metal surface. Noteworthy, results showed that CSEA exhibited an impressive inhibition efficiency, which reached 94.3% with a concentration of 2 g/L at 298 K. Potentiodynamic polarization revealed that the extract acted as a mixed-type inhibitor. Nyquist graphs showed that charge-transfer resistance and dæouble-layer capacitance both rised with increasing CSEA concentration, suggesting better inhibition efficiency. Notably, the Langmuir adsorption isotherm is well-aligned with the adsorption of inhibitor compounds. Importantly, all aforementioned theoretical methods were in agreement with the experimental findings. The outcome of the present work supported using Citrullus colocynthis seeds alkaloid-rich extract as ecofriendly agents to prevent corrosion.
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  • 文章类型: Journal Article
    本研究调查了虎杖根提取物(PCRE)在0.5MHCl酸性环境中对低碳钢的腐蚀抑制潜力。在这里,采用了各种技术,包括电化学和重量测量,随着扫描电子显微镜(SEM)和接触角(CA)测量的表面形貌分析。阻抗研究揭示了耐腐蚀性的浓度依赖性增强,将PCRE分类为混合型抑制剂(即,抑制阳极和阴极反应)。效率最高,在298K时为96.71%,在1000-ppm的PCRE浓度下观察到。Langmuir模型计算表明PCRE在电极基底上的化学吸附和物理吸附。在1000ppm下增加Rp(从28.648到174.01Ω)和Rct(185.74Ωcm2)显示出改进的耐腐蚀性。此外,SEM分析显示,保护表面,减少金属降解。理论计算强调了PCRE和低碳钢之间的强相互作用,具有低能隙(ΔE),如下:1-O-甲基大黄素(2.267eV)<大黄素(2.288eV)<大黄素-1-O-葡萄糖苷(2.343eV) This study investigates the corrosion inhibition potential of Polygonum cuspidatum root extract (PCRE) on mild steel in a 0.5 M HCl acidic environment. Herein, various techniques including electrochemical and gravimetric measurements were employed, along with scanning electron microscopy (SEM) and contact angle (CA) measurements for surface morphology analysis. The impedance study revealed a concentration-dependent enhancement in corrosion resistance, classifying PCRE as a mixed-type inhibitor (i.e., inhibits both anodic and cathodic reactions). The highest efficiency, 96.71% at 298 K, was observed at a 1000-ppm PCRE concentration. Langmuir model computations suggested chemisorption and physisorption of PCRE on the electrode substrate. Increased Rp (from 28.648 to 174.01 Ω) and Rct (185.74 Ω cm2) at 1000 ppm demonstrated improved corrosion resistance. Additionally, SEM analysis displayed a uniform, protective surface, reducing metal degradation. Theoretical calculations highlighted strong interactions between PCRE and mild steel, with a low energy gap (ΔE), as follows: 1-O-methylemodin (2.267 eV) < emodin (2.288 eV) < emodin-1-O-glucoside (2.343 eV) < piceid (2.931 eV) < resveratrol (2.952 eV), confirming PCRE\'s excellent micro-level anti-corrosion capabilities. This eco-benign corrosion inhibitor offers sustainable, low-toxicity protection, cost-effectiveness, and versatile performance, surpassing commercial counterparts while aligning with sustainability goals.
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  • 文章类型: Journal Article
    低碳钢在酸性环境中的劣化在各种行业中提出了重大挑战。有效腐蚀抑制剂的出现引起了人们对旨在减少腐蚀有害后果的研究的关注。在这项研究中,首次通过各种电化学和重量分析技术研究了Prinivil在1MHCl溶液中的腐蚀抑制效率。结果表明,Prinivil的抑制效率从50ppm时的61.37%扩展到298K时500ppm浓度时的97.35%。在500ppm的抑制剂浓度下,回归系数(R2)为0.987,Kads值为0.935,Ea值为43.024kJ/mol,已发现Prinivil对金属表面的吸附具有很强的亲和力。扫描电子显微镜(SEM)和接触角测量分析进一步支持Prinivil的抑制行为,证明了在低碳钢表面产生了防御层。此外,采用分子动力学(MD)和蒙特卡罗模拟研究了原子水平上Prinivil与金属表面(Fe(110))之间的稳定性和相互作用。计算结果表明,Prinivil在钢表面具有很强的吸附作用,确认其作为腐蚀抑制剂的可行性。
    The deterioration of mild steel in an acidic environment poses a significant challenge in various industries. The emergence of effective corrosion inhibitors has drawn attention to studies aimed at reducing the harmful consequences of corrosion. In this study, the corrosion inhibition efficiency of Prinivil in a 1M HCl solution through various electrochemical and gravimetric techniques has been investigated for the first time. The results demonstrated that the inhibition efficiency of Prinivil expanded from 61.37% at 50 ppm to 97.35% at 500 ppm concentration at 298 K. With a regression coefficient (R 2) of 0.987, Kads value of 0.935 and Ea value of 43.024 kJ/mol at 500 ppm concentration of inhibitor, a strong affinity of Prinivil for adsorption onto the metal surface has been significantly found. Scanning electron microscopy (SEM) and contact angle measurement analyses further support the inhibitory behavior of Prinivil, demonstrating the production of a defensive layer on the surface of mild steel. Additionally, molecular dynamics (MD) and Monte Carlo simulations were employed to investigate the stability and interactions between Prinivil and the metallic surface (Fe (1 1 0)) at the atomic level. The computed results reveal strong adsorption of Prinivil upon the steel surface, confirming its viability as a corrosion inhibitor.
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  • 文章类型: Guideline
    背景:毛状细胞白血病(HCL)是一种罕见的B细胞慢性淋巴增生性疾病(B-CLPD),其良好的预后随着嘌呤核苷类似物(PNA)的使用而改变,例如克拉屈滨(CDA)或喷他汀(P)。然而,一些患者最终复发,随着时间的推移,HCL对化疗产生耐药性.在过去的十年中,在HCL的病理生理学方面取得了许多发现。尤其是在基因组学中,随着BRAFV600E突变和细胞生物学的鉴定,包括信号通路和肿瘤微环境的重要性。所有这些新的发展导致了靶向治疗,特别是BRAF抑制剂(BRAFis),MEK抑制剂(MEKis),布鲁顿酪氨酸激酶(BTK)抑制剂(BTKis)和重组抗CD22免疫缀合物。
    结果:在这些更新的指南中引入了以下主要变化或补充:脾B细胞淋巴瘤和白血病分类变化的临床相关性;BRAFV600E突变的日益重要的诊断作用;以及免疫球蛋白(IG)变量(V)重链(H)(IGHV)突变状态和库的预后作用。我们还希望坚持骨骼的具体参与,皮肤,诊断时或随访期间的脑和/或脑脊液(CSF),用于HCL治疗的新型靶向药物(BRAFi和MEKi),以及微小残留病(MRD)评估的作用日益增强。
    结论:在这里,我们提出了诊断HCL的建议,一线和复发/难治性患者的治疗以及HCL样疾病,包括HCL变体(HCL-V)/脾B细胞淋巴瘤/具有突出核仁的白血病(SBLPN)和脾弥漫性红髓淋巴瘤(SDRPL)。
    BACKGROUND: Hairy-cell leukemia (HCL) is a rare B-cell chronic lymphoproliferative disorder (B-CLPD), whose favorable prognosis has changed with the use of purine nucleoside analogs (PNAs), such as cladribine (CDA) or pentostatin (P). However, some patients eventually relapse and over time HCL becomes resistant to chemotherapy. Many discoveries have been made in the pathophysiology of HCL during the last decade, especially in genomics, with the identification of the BRAFV600E mutation and cellular biology, including the importance of signaling pathways as well as tumor microenvironment. All of these new developments led to targeted treatments, especially BRAF inhibitors (BRAFis), MEK inhibitors (MEKis), Bruton\'s tyrosine kinase (BTK) inhibitors (BTKis) and recombinant anti-CD22 immunoconjugates.
    RESULTS: The following major changes or additions were introduced in these updated guidelines: the clinical relevance of the changes in the classification of splenic B-cell lymphomas and leukemias; the increasingly important diagnostic role of BRAFV600E mutation; and the prognostic role of the immunoglobulin (IG) variable (V) heavy chain (H) (IGHV) mutational status and repertory. We also wish to insist on the specific involvement of bones, skin, brain and/or cerebrospinal fluid (CSF) of the disease at diagnosis or during the follow-up, the novel targeted drugs (BRAFi and MEKi) used for HCL treatment, and the increasing role of minimal residual disease (MRD) assessment.
    CONCLUSIONS: Here we present recommendations for the diagnosis of HCL, treatment in first line and in relapsed/refractory patients as well as for HCL-like disorders including HCL variant (HCL-V)/splenic B-cell lymphomas/leukemias with prominent nucleoli (SBLPN) and splenic diffuse red pulp lymphoma (SDRPL).
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  • 文章类型: Journal Article
    我们报告了克拉屈滨和利妥昔单抗序贯治疗毛细胞白血病(HCL)的2期临床试验的长期疗效和安全性。纳入了139名患者:111名在前线设置,18第一次复发,和10具有变体HCL(HCLv)。137名可评估参与者中有133名(97%)达到了完全缓解(CR),其中102名(77%)具有可测量的残留疾病(MRD)阴性。MRD状态与无事件生存率(EFS)或总生存率(OS)的显着差异无关。中位随访时间为7.8年(范围:0.40-18.8),8例患者出现疾病复发(5.8%),新诊断的HCL为4/111(3·6%),HCLv为4/10(40%)(p=0.002)。10年EFS和OS率分别为86.7%和91.1%,分别。在28名参与者中观察到3级不良事件(20%),主要是由于感染。序贯克拉屈滨和利妥昔单抗治疗HCL在一线和复发环境中都具有优异的疗效和安全性结果。
    We report on the long-term efficacy and safety of a phase 2 trial of sequential cladribine and rituximab in hairy cell leukemia (HCL). One-hundred and thirty-nine patients were enrolled: 111 in the frontline setting, 18 in first relapse, and 10 with variant HCL (HCLv). A complete response (CR) was achieved in 133 of 137 evaluable participants (97%) with measurable residual disease (MRD) negativity in 102 (77%). MRD status was not associated with significant differences in event-free survival (EFS) or overall survival (OS). With a median follow-up of 7.8 years (range: 0.40-18.8), eight patients have experienced disease relapse (5.8%), 4/111 with newly diagnosed HCL (3·6%) and 4/10 with HCLv (40%) (p = 0.002). The 10-year EFS and OS rates were 86.7% and 91.1%, respectively. Grade 3 adverse events were observed in 28 participants (20·1%), mostly due to infections. Treatment of HCL with sequential cladribine followed by rituximab is associated with excellent efficacy and safety results both in the frontline and relapsed settings.
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  • 文章类型: Journal Article
    在1.0MHCl中检查了呋塞米(4-氯-2-呋喃-2-基甲基氨基-5-氨磺酰基苯甲酸)作为碳钢(CS)腐蚀的抑制剂。研究包括质量损失(ML)和电化学技术:动电位极化(PP),电化学阻抗谱(EIS),和电化学频率调制(EFM)。抑制效率随着呋塞米浓度和温度的升高而升高。该化合物遵循具有良好拟合的Temkin等温线。不同数量的存在会影响阳极金属溶解和阴极氢析出。扫描电子显微镜(SEM),原子力显微镜(AFM),X射线光电子能谱(XPS),用傅里叶变换红外光谱(FT-IR)检测化合物对CS表面的影响。使用量子化学计算证明了呋塞米的分子抑制作用,分子模拟结果表明了碳钢表面的吸附。
    Furosemide (4-chloro-2-furan-2-ylmethylamino-5-sulfamoylbenzoic acid) was examined as an inhibitor for the corrosion of carbon steel (CS) in 1.0 M HCl. The investigation included mass loss (ML) and electrochemical techniques: potentiodynamic polarization (PP), electrochemical impedance spectroscopy (EIS), and electrochemical frequency modulation (EFM). The efficiency of inhibition rises with increasing Furosemide concentration and temperature. This compound follows the Temkin isotherm with good fit. The presence of varying quantities influences both anodic metal dissolution and cathodic hydrogen evolution. Scanning electron microscopy (SEM), atomic force microscopy (AFM), X-ray photoelectron spectroscopy (XPS), and Fourier transform infrared spectroscopy (FT-IR) were used to detect the effect of the compound on the CS surface. The molecular inhibitory effect of Furosemide was demonstrated using quantum chemical calculations, and the molecular simulation results demonstrated the adsorption on the carbon steel surface.
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  • 文章类型: Journal Article
    HCl和SO2气体的存在限制了在广泛的应用中从生活垃圾获得的合成气的利用。水滑石类化合物(HTL)已被证明可以有效去除HCl。然而,HTLs和SO2合成条件对HCl脱除影响的研究有限。在这项研究中,通过煅烧HTL合成了一系列Ca-Mg-Al混合氧化物吸附剂,随着结晶温度的变化,溶液pH值,和Ca/Mg摩尔比。检查了这些吸附剂在不同条件下在中高温下去除HCl的有效性。选定的吸附剂对HCl的吸附性能,SO2和HCl-SO2混合气体,温度为350°C,450°C,550°C,分别,使用热重分析(TGA)进行评估。观察到HTL合成参数显着影响Ca-Mg-Al混合氧化物的HCl吸附容量。值得注意的是,在60°C下合成的HTLs,溶液的pH为10-11,Ca/Mg比为4时表现出优异的结晶度和最佳的吸附特性。对于单独的HCl和SO2去除,温度对HCl吸附影响较小,但显着影响SO2吸附速率。在550°C以上的温度下,SO2脱除效率大幅下降。当暴露在混合气体中时,Ca-Mg-Al混合氧化物可以在低于550°C的温度下有效地去除HCl和SO2。HCl在较高温度下主导吸附过程。这种双重作用能力归因于HTL吸附剂与HCl相互作用的几种机制,包括孔隙填充,离子交换,和阳离子交换。最初,由于表面的极性,HCl被吸收到水和CO2去除产生的特定位置上。随后,HCl与在HTL分解过程中形成的CaCO3和CaO反应。
    The presence of HCl and SO2 gas imposes limitations on syngas utilization obtained from household waste in a wide range of applications. The hydrotalcite-like compounds (HTLs) have been proved that could remove HCl efficiency. However, the research on impact of synthesis conditions of HTLs and SO2 on HCl removal was limited. In this study, a range of Ca-Mg-Al mixed oxide sorbents was synthesized by calcining HTLs, with variations in crystallization temperature, solution pH, and the Ca/Mg molar ratio. These sorbents were examined for their effectiveness in removing HCl at medium-high temperatures under diverse conditions. The adsorption performance of selected sorbents for the removal of HCl, SO2, and HCl-SO2 mixed gas at temperature of 350 °C, 450 °C, and 550 °C, respectively, was evaluated using thermogravimetric analysis (TGA). It was observed that the HTL synthesis parameters significantly influenced the HCl adsorption capacity of Ca-Mg-Al mixed oxides. Notably, HTLs synthesized at 60 °C, a solution pH of 10-11, and a Ca/Mg ratio of 4 exhibited superior crystallinity and optimal adsorption characteristics. For individual HCl and SO2 removal, temperature had a minor effect on HCl adsorption but significantly impacted SO2 adsorption rates. At temperatures above 550 °C, SO2 removal efficiency substantially decreased. When exposed to a mixed gas, the Ca-Mg-Al mixed oxides could efficiently remove both HCl and SO2 at temperatures below 550 °C, with HCl dominating the adsorption process at higher temperatures. This dual-action capability is attributed to several mechanisms through which HTL sorbents interacted with HCl, including pore filling, ion exchange, and cation exchange. Initially, HCl absorbed onto specific sites created by water and CO2 removal due to the surface\'s polarity. Subsequently, HCl reacted with CaCO3 and CaO formed during HTL decomposition.
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  • 文章类型: Journal Article
    铝缓蚀剂{[CuI(CN)2(phen)CuII(CN)2(phen)]5H2O},在一摩尔HCl溶液中研究了(MOF1)和{[CuI(CN)2(phen)CuII(CN)2(phen)]5H2O}@TiO2(MOF1@TiO2)。将三种不同温度(25-45°C)的ML结果与PDP和EIS分析的结果进行了比较。抑制剂在Al表面的吸附已通过Langmuir等温线进行了计算和讨论。产生的抑制剂显示出巨大的有效性,随着剂量的增加和温度的降低,其抑制效率显着增加。抑制效率各达到88.6%,对于MOF1@TiO2和MOF1,在400ppm和25°C下分别为84.5%。通过对合成抑制剂的极化曲线分析,发现它们是混合型抑制剂。当用抑制剂薄膜涂覆时,发现Al受到表面抑制,和“铝的表面形貌通过不同的技术,如扫描电子显微镜(SEM),能量色散X射线(EDX)和原子力显微镜(AFM)。““量子化学和分子动力学模拟等理论模型验证了实验观察结果。”当暴露于酸性环境时,MOFs对Al表现出优异的耐腐蚀性,根据几个测试。
    Aluminum corrosion inhibitors \"{[CuI (CN)2(phen) CuII (CN)2(phen)]5H2O},(MOF1) and {[CuI(CN)2(phen)CuII(CN)2(phen)]5H2O}@TiO2 (MOF1@TiO2) were studied in one molar HCl solution\". The ML results for three different temperatures (25-45 °C) were compared with the results of PDP and EIS analyses. The adsorption of inhibitors on Al surfaces has been calculated and discussed by a Langmuir isotherm. The inhibitors that were created showed great effectiveness, with a noticeable increase in their inhibitory efficiency as the dosage was raised and the temperature was lowered. Inhibition efficiency each amounted to 88.6%, 84.5% at 400 ppm and 25 °C for MOF1@TiO2 and MOF1, respectively. Analyzing the polarization curves of synthesized inhibitors revealed that they were mixed-type inhibitors. Al was found to be surface inhibited when coated with a thin film of inhibitors, and \"Al\'s surface morphology was assessed by different techniques such as scanning electron microscopy (SEM), energy dispersive X-ray (EDX) and atomic force microscope (AFM)\". \"Theoretical models like quantum chemical and molecular dynamics simulation authenticated the experimental observation\". The MOFs exhibit exceptional corrosion resistance against Al when exposed to acidic environments, according to several tests.
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  • 文章类型: Journal Article
    背景:毛状细胞白血病(HCL)是一种罕见的成熟B细胞淋巴增生性疾病,主要见于男性,以血细胞减少为特征,脾肿大,骨髓纤维化,以及外周血中显示细胞质毛状突起的非典型淋巴样细胞的存在,骨髓,还有脾脏.免疫表型(IPT)谱显示B细胞的克隆扩增,其中CD19、CD20和CD22显示明亮的表达。诊断需要CD103、CD123、CD25和CD11c中的两个毛细胞标志物为阳性。在大多数情况下,HCL变体(HCL-v)具有不同的IPT谱,其中CD25为阴性。
    目的:目的是研究经典HCL和HCL变体的血液学和IPT。
    方法:本横断面研究包括2015年1月1日至2022年12月31日在印度北部一家三级保健医院进行的8年回顾性诊断的所有HCL病例。纳入研究的患者是那些免疫分型的患者;也就是说,流式细胞术和/或免疫组织化学(IHC)进行诊断。骨髓载玻片,IHC幻灯片,和流式细胞术IPT进行了综述。
    结果:该研究包括13名被诊断患有HCL的患者,其中12个是经典HCL,一个是HCL变体(HCL-v)。在经典的HCL中,通过流式细胞术对10例患者进行IPT,而在两名患者中,这是由IHC完成的。所有经典HCL患者的CD19、CD20和CD22均为阳性(分别为10/10、10/10和5/5),而CD123,CD103,CD25和CD11C在100%呈阳性,89%,80%,100%的案例,分别。一名HCL-v患者CD103和CD123阳性,而CD25和CD123为阴性。
    结论:HCL的诊断需要多管齐下的方法。临床特征的使用,形态学,和免疫表型结合辅助技术提供了更高的诊断准确性,并使其与其他B细胞淋巴增殖性疾病(BCLPDs)区分开来,导致更好的患者管理和治疗。
    BACKGROUND: Hairy cell leukemia (HCL) is a rare lymphoproliferative disorder of the mature B-cells, mostly seen in men, and is characterized by cytopenia, splenomegaly, myelofibrosis, and the presence of atypical lymphoid cells showing the cytoplasmic hairy projection in the peripheral blood, bone marrow, and spleen. The immunophenotypic (IPT) profile shows the clonal expansion of B-cells with CD19, CD20, and CD22 showing bright expression. The diagnosis requires two hairy cell markers out of CD103, CD123, CD25, and CD11c to be positive. The HCL variant (HCL-v) has a different IPT profile with negative CD25 in most cases.
    OBJECTIVE: The aim was to study the hematological and IPT of classical HCL and HCL variants.
    METHODS: This cross-sectional study included all the cases of HCL diagnosed over a retrospective period of eight years from 1st January 2015 to 31st December 2022 in a tertiary care hospital in north India. The patients included in the study were those for whom immunophenotyping; that is, flow cytometry and/or immunohistochemistry (IHC) were done for diagnosis. Bone marrow slides, IHC slides, and flow cytometric IPTs were reviewed.
    RESULTS: The study included 13 patients who were diagnosed to have HCL, of which 12 were classical HCL and one was HCL-variant (HCL-v). Among classical HCL, IPT was done by flow cytometry in 10 patients, while in two patients, it was done by IHC. CD19, CD20, and CD22 were positive in all patients of classical HCL (10/10, 10/10, and 5/5, respectively), while CD123, CD103, CD25, and CD11C were positive in 100%, 89%, 80%, and 100% cases, respectively. One patient of HCL-v had CD103 and CD123 positive, while CD25 and CD123 were negative.
    CONCLUSIONS: The diagnosis of HCL requires a multipronged approach. The use of clinical features, morphology, and immunophenotyping combined with ancillary techniques provides higher diagnostic accuracy and enables its distinction from other B-cell lymphoproliferative disorders (BCLPDs), leading to better patient management and treatment.
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  • 文章类型: Case Reports
    背景:毛细胞白血病常伴有全血细胞减少,惰性课程,和传染性并发症的倾向。目前的一线治疗选择是嘌呤类似物,尤其是克拉屈滨,具有很高比例的完整响应和持久的缓解。然而,在患有严重慢性肾功能不全的患者中,对它们的使用研究甚少。
    方法:这里,我们描述了一名68岁男性患有多种合并症的HCL病例,包括严重的慢性肾衰竭.经过一个疗程的干扰素-α,患者每隔一周接受克拉屈滨治疗,获得完全的血液学缓解和肾功能改善。
    结论:使用不同的克拉屈滨软方案,病人得到了充分的治疗,获得完全缓解。
    结论:克拉屈滨可以谨慎使用,即使是肾功能衰竭的患者,有很好的结果。
    BACKGROUND: Hairy cell leukemia commonly presents with pancytopenia, indolent course, and predisposition as infectious complications. Current first-line therapeutic options are purine analogues, particularly cladribine, with a high percentage of complete responses and durable remissions. However, their use is poorly investigated in patients affected by severe chronic renal insufficiency.
    METHODS: Here, we describe a case of HCL in a 68-year-old man affected by multiple comorbidities, including severe chronic renal failure. After a course of interferon-α, the patient received therapy with Cladribine every other week, obtaining a complete hematological remission and improvement of renal function.
    CONCLUSIONS: With a different soft schedule of cladribine, the patient was treated adequately, obtaining a complete remission.
    CONCLUSIONS: Cladribine can be administered with caution, even in patients with renal failure, with good results.
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