Report of six cases of Genital Ulcers during induction therapy of Acute Promyelocytic Leukemia with ATRA and review of literature

  • Inés Roccia Rossi
  • María Laura Yantorno
  • María Fernanda Ferrer
  • Karina Aguilera-Constanzo
  • María Eugenia Groba
  • Mauricio Contte
  • Amadeo Esposto
Keywords: genital lesions, scrotal ulcers, genital ulcers, ATRA, vasculitis, Sweet´s Syndrome

Abstract

All-trans retinoic acid (ATRA) is one of the greatest advances in the treatment of Acute Promyelocytic Leukemia. The combination of all-trans-retinoic acid (ATRA), chemotherapy and corticoids has made acute promyelocytic leukemia (APL) a highly curable leukemia. The ATRA is generally well tolerated. Adverse effects, include ATRA syndrome (SATRA), and the gastrointestinal and mucocutaneous side effects, such us scrotal ulcers, wich are transitory and with a good clinical response. They are a different entity to SATRA, and presents vasculitis in the histological study. Of our knowledge, 44 cases were reported in the literature, we present the following document with six patients evaluated at our institution with genital ulcers associated with ATRA, four of them present vasculitis in pathological study, and one patient Sweet ́s Syndrome.

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Author Biographies

Inés Roccia Rossi

Servicio de Infectología. Instituto Policlinico Hospital Interzonal General de Agudos “Gral. San Martín”. La Plata. Provincia de Buenos Aires. Argentina.

María Laura Yantorno

Servicio de Infectología. Instituto Policlinico Hospital Interzonal General de Agudos “Gral. San Martín”. La Plata. Provincia de Buenos Aires. Argentina.

María Fernanda Ferrer

Servicio de Infectología. Instituto Policlinico Hospital Interzonal General de Agudos “Gral. San Martín”. La Plata. Provincia de Buenos Aires. Argentina.

Karina Aguilera-Constanzo

Servicio de Infectología. Instituto Policlinico Hospital Interzonal General de Agudos “Gral. San Martín”. La Plata. Provincia de Buenos Aires. Argentina.

María Eugenia Groba

Servicio de Anatomía Patológica. Instituto Policlinico Hospital Interzonal General de Agudos “Gral. San Martín”. La Plata. Provincia de Buenos Aires. Argentina.

Mauricio Contte

Servicio de Hematología. Instituto Policlinico Hospital Interzonal General de Agudos “Gral. San Martín”. La Plata. Provincia de Buenos Aires. Argentina.

Amadeo Esposto

Servicio de Infectología. Instituto Policlinico Hospital Interzonal General de Agudos “Gral. San Martín”. La Plata. Provincia de Buenos Aires. Argentina.

Published
2023-09-18
How to Cite
Roccia Rossi, I., Yantorno, M. L., Ferrer, M. F., Aguilera-Constanzo, K., Groba, M. E., Contte, M., & Esposto, A. (2023). Report of six cases of Genital Ulcers during induction therapy of Acute Promyelocytic Leukemia with ATRA and review of literature. Actualizaciones En Sida E Infectología, 24(90). https://doi.org/10.52226/revista.v24i90.241
Section
Case Report