The adverse effect of prolonged prednisolone pretreatment in children with acute lymphoblastic leukemia

Tamás Révész, Gabriella Kardos, Pál Kajtár, Dezsö Schuler

Research output: Contribution to journalArticle

36 Citations (Scopus)


Between 1971 and 1981, 699 children were diagnosed to have acute lymphoblastic leukemia (ALL) in Hungary. 34 of these children had received prednisolone therapy prior to the establishment of the diagnosis. The most frequent presumptive diagnoses that prompted steroid treatment were aplastic conditions and arthritic disorders. Leukemia was diagnosed when the presenting symptoms reappeared usually several weeks after the initiation of steroid therapy and often following withdrawal of the drug. Initial leukemic burden, as judged by leukocyte count and hepatosplenomegaly, was smaller in these patients than in other children with leukemia at the time of diagnosis. Although they entered remission at the same rate as the other patients, the length of continuous complete remission was significantly shorter in the prednisolone pretreated group. It appears that prolonged prednisolone therapy given before remission induction imparts a distinct unfavorable prognosis.

Original languageEnglish
Pages (from-to)1637-1640
Number of pages4
Issue number8
Publication statusPublished - Apr 15 1985


ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this