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Review Question - QID 659

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QID 659 (Type "659" in App Search)
What is the major side-effect of doxorubicin?

neuropathy

4%

121/2840

hearing loss

3%

72/2840

pulmonary fibrosis

4%

118/2840

cardiac toxicity

88%

2488/2840

liver cirrhosis

1%

23/2840

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Doxorubicin is an anthracycline antibiotic commonly used in oncological protocols to treat malignancies in children. It is a cytostatic agent and its cardiotoxicity is well known as shown in the cited study by Elbl et al, which found a 7% incidence of cardiotoxicity. Acute cardiotoxicity is rare but as patients live longer there is the possibility of delayed myocardial damage to a degree that depends on the cumulative dose of the agent. Compromised myocyte growth may eventually lead to a thinning of the wall of the left ventricle. This may lead to chamber dilation and the development of cardiomyopathy. Dexrazone is a drug that may be protective against the cardiac effects of doxorubicin. The use of dexrazone is reviewed in the reference by Wiseman et al.

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