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Kaplan Qbank USMLE



Author3 Posts
  #1

What is the Rai system staging for CLL, what are the stages need treatment?
what is the 1st, 2nd line treatment?
In what situation we use prednisone?

  #2

stage 0---lymphocytosis only
stage I---lymphocytosis + lymphadenopathy
stage II ---organomegaly
stage III---anemia
stage IV---thrombocytopenia

symptomatic stage II or stage III/IV require treatment.

Fludarabine is used as front line therapy.
Combination therapy with Fludarabine + either rituximab/cyclophosphamide has better response.

Associated autoimmune hemolytic anemia or immune thrombocytopenia require treatment with prednisone or splenectomy.

  #3

doc4mindia, you answers are very good. thanks!







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