Childhood leukemia M3 after treatment morning fatigue

Patient's question:

The child's symptoms had never appeared before the maintenance treatment. Residual and gene quantification were both normal.

Doctor's answer:

Morning hunger accompanied by fatigue and excessive sweating, need to check blood sugar. In M3 treatment, retinoic acid and arsenic are the mainstays, which is a consensus, but for the other cytotoxic drugs, different regimens may be used in different places. We no longer use 6-mp + MTX for maintenance. Since your child has significant liver damage, other drugs can be used.

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