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Vasculitis - Langford.pdf - AInotes

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Daily Cyclophosphamide<br />

A life saving drug in severe systemic vasculitis – but toxic<br />

Acute toxicities<br />

Infection<br />

Cytopenias<br />

Bladder injury<br />

Long Term Toxicities<br />

Infertility<br />

Malignancies<br />

Bladder<br />

Blood (leukemia, lymphoma)<br />

Skin (basal and squamous cell)<br />

Toxicity prevention:<br />

• Take in the AM with a large amount of fluid<br />

• CBC every 1-21<br />

2 weeks while on drug<br />

• Urinalysis with cystoscopy for non-glomerular<br />

hematuria<br />

• Urine cytology every 6 months<br />

Cancer risk and need for surveillance is life long

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