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Erythema Nodosum in a Patient With Renal Cell Carcinoma Treated With Interleukin 2 and Lymphokine-Activated Killer Cells
Arthur Weinstein, MD;
Danuta Bujak, RN, FNP;
Abraham Mittelman, MD;
Marianna Davidian, MD
New York Medical College Westchester Medical Center Valhalla
JAMA. 1987;258(21):3120-3121.
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To the Editor.—
Systemic administration of high-dose recombinant interleukin 2 (IL-2) and autologous lymphokineactivated killer (LAK) cells has been reported to be effective in the treatment of advanced cancer.1 Toxic reactions are frequent and include fever, pruritus, rash, and myalgia.1-3 We recently observed a patient with renal cell carcinoma who developed erythema nodosum (EN) after a course of IL-2/LAK cell therapy.
Report of a Case.—
A 26-year-old woman with an 18-month history of biopsy-proved renal cell carcinoma with lymphatic and lung involvement was referred for evaluation of a rash, arthralgia, and leg swelling of ten days' duration. Three weeks prior to this episode, she had been discharged from Westchester Medical Center, where she had received, for the second time, a three-week course of IL-2/LAK cell therapy for her metastatic disease.4 During that hospitalization, she had also received methadone, diazepam (Valium), Maalox, Demerol Compound, diphenhydramine hydrochloride (Benadryl), a
. . . [Full Text PDF of this Article]
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