TY - JOUR PY - 2003// TI - Combined initial cyclophosphamide with repeated methylprednisolone pulse therapy for severe paraquat poisoning from dermal exposure JO - Journal of toxicology - clinical toxicology A1 - Lin, Nan-Chieh A1 - Lin, Ja-Liang A1 - Lin-Tan, Dan-Tzu A1 - Yu, Chun-Chen SP - 877 EP - 881 VL - 41 IS - 6 N2 - The article presents a patient with severe paraquat poisoning from dermal exposure, who had chemical bums to more than 10% of his body surface area, serum paraquat level 0.13 microg/mL 60 hr after exposure, and severe hypoxemia (PaO2 41.6 mmHg). The patient was successfully treated with combined initial megadoses of cyclophosphamide (15 mg/kg/day, total 2 days) with repeated methylprednisolone pulse therapy (15 mg/kg/day, total 6 days) and continuous dexamethasone administration (5 mg every 8 hr), and recovered completely without sequelae 3 months later. This treatment deserves further investigation in future clinical trials.

Language: en

LA - en SN - 0731-3810 UR - http://dx.doi.org/ ID - ref1 ER -