Blood, 1952, Vol. 7, No. 6, pp. 607-612.
© 1952 American Society of Hematology, Inc.
Treatment of Paroxysmal Nocturnal Hemoglobinuria
with ACTH
NORMAN KALANT M.D.1 and
DONAT P. CYR M.D.1
1 Department of Internal Medicine, the Lahey Clinic, Boston, Mass.
A proven case of paroxysmal nocturnal hemoglobinuria is reported in which
the patient was treated with ACTH on three occasions. Following an initial
failure, the second course of ACTH resulted in a dramatic deceleration of
hemolysis which, however, lasted only a short time after the cessation of treatment. A third attempt was again of no avail in relieving the condition. Treatment with dicumarol coincided with a remission of the hemolysis which has
lasted, so far, for five weeks.
Submitted on December 5, 1951
Accepted on March 6, 1952