LAUREL R. EHRLICH, M.S.
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To the editor: In a recent paper (Ann Intern Med 77:935-937, 1972) Kjeldsberg and Ward reported a case of arsenic poisoning that presented as aplastic anemia and subsequently developed into acute myelogenous leukemia. They indicate that, in their opinion, the causative agent for the leukemia was arsenic. They do not seem to take into account the fact that the patient was treated with oxymetholone as part of the therapeutic regimen.
I suggest that they consider the report of Delamore and Geary (1), who presented the cases of four patients who were treated for aplastic anemia by oxymetholone therapy and subsequently
EHRLICH LR. Arsenic, Oxymetholone, and Leukemia. Ann Intern Med. ;79:288. doi: 10.7326/0003-4819-79-2-288_1
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Published: Ann Intern Med. 1973;79(2):288.
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