EVALUATION OF KIDNEY FUNCTION IN AN ELDERLY PATIENT WITH ACUTE MYELOBLASTIC LEUKEMIA AFTER HEMATOPOIETIC STEM CELL TRANSPLANTATION: A CASE REPORT

A.O. MURZAKHMETOVA 1, A.M. MEIRAMOVA 1, A.A. ISSILBAYEVA 1, B.B. ABDAHINA 1, E.T. OMRALINA 1, B.A. AINABEKOVA 1,2

1. “Astana Medical University” NCJSC, Astana, the Republic of Kazakhstan;
2. “National Research Oncology Center” LLP, Astana, the Republic of Kazakhstan

DOI: https://www.doi.org/10.52532/2663-4864-2023-1-67-46-49

UDC: 616.155.392-036.11+089.819.843-61:053.9

Year: 2023 issure: 67 number: 1 pages: 46-49

Download PDF: 2012.2-3.24-25_10.pdf

ABSTRACT

Relevance: Kidney functions in treating acute myeloblastic leukemia (AML) undergo serious effects, especially in elderly patients. Chemotherapeutic drugs used to prepare for hematopoietic stem cell transplantation (HSCT) inevitably affect elderly patients’ kidney function. Moreover, involutive changes in the kidneys can physiologically decrease kidney function.
The study aimed to evaluate kidney function in an elderly patient with AML after HSCT.
Methods: The article describes a clinical case of AML in an elderly patient who underwent allogeneic HSCT.
Results: We analyzed the dynamics of the functional state from the moment of registration of AML to +100 days after HSCT. During the entire follow-up period, we did not detect any renal dysfunction in the elderly patient. Despite the HSCT and the effects of nephrotoxic drugs in an elderly patient + 100 days after HSCT, kidney function was preserved.
Conclusion: The described case highlights the importance of maintaining renal function in elderly patients after HSCT and long-term renal monitoring.
Keywords: hematopoietic stem cell transplantation (HSCT), bone marrow transplantation, acute myeloblastic leukemia (AML), renal failure, case report, glomerular filtration rate, complications, elderly patients.

References:
1. Levin-Epstein R., Oliai C., Schiller G. Allogeneic Hematopoietic Stem Cell Transplantation for Older Patients With Acute Myeloid Leukemia // Curr. Treat. Options Oncol. – 2018. – Vol. 19(12). – P. 63. https://doi.org/10.1007/s11864-018-0577-2
2. Dhopeshwarkar N., Iqbal S., Wang X., Salas M. A retrospective study of comorbidities and complications in elderly acute myeloid leukemia patients in the United States // Clin. Lymphoma Myeloma Leuk. – 2019. – Vol. 19. – P. e436-e456. https://doi.org/10.1016/j.clml.2019.04.012
3. Ebert N., Jakob O., Gaedeke J., van der Giet M., Kuhlmann M.K., Martus P., Mielke N., Schuchardt M., Tölle M.., Wenning V, Schaeffner E.S. Prevalence of reduced kidney function and albuminuria in older adults: the Berlin Initiative Study // Nephrol. Dial. Transplant. – 2017. – Vol. 32. – P. 997-1005. https://doi.org/10.1093/ndt/gfw079
4. Levine L.B., Roddy J.V., Kim M., Li J., Phillips G., Walker A.R. A comparison of toxicities in acute myeloid leukemia patients with and without renal impairment treated with decitabine // J. Oncol. Pharm. Pract. – 2018. – Vol. 24. – P. 290-298. https://doi.org/10.1177/1078155217702213
5. Kanduri S.R., Cheungpasitporn W., Thongprayoon C.., Bathini T, Kovvuru K., Garla V., Medaura J., Vaitla P.., Kashani KB. Incidence and mortality of acute kidney injury in patients undergoing hematopoietic stem cell transplantation: a systematic review and meta-analysis // QJM. – 2020. – Vol. 113(9). – P. 621-632. https://doi.org/10.1093/qjmed/hcaa072
6. Gökbuget N. Treatment of older patients with acute lymphoblastic leukemia // Hematology Am. Soc. Hematol. Educ. Program. – 2016. – Vol. 2016(1). – P. 573-579. https://doi.org/10.1182/asheducation-2016.1.573
7. Podoltsev N.A., Stahl M., Zeidan A.M., Gore S.D. Selecting initial treatment of acute myeloid leukemia in older adults // Blood Rev. – 2017. – Vol. 31 (2). – P. 43-62. https://doi.org/10.1016/j.blre.2016.09.005
8. McClure M., Jorna T., Wilkinson L., Taylor J. Elderly patients with chronic kidney disease: do they really need referral to the nephrology clinic? // Clin. Kidney J. – 2017. – Vol. 10(5). – P. 698-702. https://doi.org/10.1093/ckj/sfx034
9. Wanchoo R., Bernabe Ramirez C., Barrientos J., Jhaveri K.D. Renal involvement in chronic lymphocytic leukemia // Clin. Kidney J. – 2018. – Vol. 11(5). – P. 670-680. https://doi.org/10.1093/ckj/sfy026
10. Pulko N., Petreski T., Hauptman J., Piko N., Roškar Z., Bevc S. The impact of kidney function on survival in elderly patients diagnosed with acute myeloid leukemia // Clin. Nephrol. – 2021. – Vol. 96(1). – P. 31-35. https://doi.org/10.5414/CNP96S06
11. Shallis R.M., Wang R., Davidoff A., Ma X., Zeidan A.M. Epidemiology of acute myeloid leukemia: Recent progress and enduring challenges // Blood Rev. – 2019. – Vol. 36. – P. 70-87. https://doi.org/10.1016/j.blre.2019.04.005

Ошибка: Контактная форма не найдена.