Korean Journal of Neuromuscular Disorders ; 8 : 88 - 91, 2016
A Case of Acute Neuropathy Associated with Low Thiamine Level Following Treatment with Arsenic Trioxide for a Patient with Acute Promyelocytic Leukemia
Jee Eun Yoon, Jun-Sang Sunwoo, Ji Sun Kim, Kyung Bok Lee, Moo-young Ahn, Hakjae Roh
Arsenic trioxide has been steadily used as a treatment for acute promyelocytic leukemia over the
decade. Peripheral neuropathy is a common complication of arsenic therapy and the symptoms are
usually mild and reversible following discontinuation of the therapy. However, the clinical course of
arsenic neurotoxicity in patient with coexistence of thiamin deficiency may potentially lead to be severe
weakness and bad prognosis. It is important to determine the serum thiamine level of patients with
acute promyelocytic leukemia before administrating Arsenic trioxide