RESUMO
Secondary malignancies that develop after allogeneic-hematopoietic stem cell transplantation (allo-HSCT) have become serious issues. A 47-year-old man who developed acute myeloid leukemia in 2009 and subsequently underwent allo-HSCT twice: in 2009 and 2011. In 2015, voriconazole for lung aspergillus was started. In 2018, chronic graft-versus-host disease (GVHD) and multiple actinic keratoses manifested at his head. In 2020, some lesions were diagnosed as squamous cell carcinoma, so voriconazole was withdrawn, and subsequent surgery and radiation led to remission. Long-term administration of voriconazole in addition to allo-HSCT and chronic GVHD may be closely related to secondary skin cancer.
Assuntos
Doença Enxerto-Hospedeiro , Transplante de Células-Tronco Hematopoéticas , Leucemia Mieloide Aguda , Neoplasias Cutâneas , Doença Enxerto-Hospedeiro/tratamento farmacológico , Doença Enxerto-Hospedeiro/etiologia , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Humanos , Leucemia Mieloide Aguda/patologia , Leucemia Mieloide Aguda/terapia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Neoplasias Cutâneas/etiologia , Transplante Homólogo/efeitos adversos , Voriconazol/uso terapêuticoRESUMO
A [Ru(phen)3](2+) complex (phen = 1,10-phenanthroline) having an arylethynyl group at the 4-position of one of the three phen ligands (aryl: (dimesityl)borylduryl group = [RuBE](2+) or duryl group = [RuDE](2+)) showed dual emissions at low temperature in propylene carbonate (PC). The shorter emission lifetime components (τ(em)(s) ≈ 13 µs) that originated from the lowest-energy excited triplet states (T1) of the complexes were almost independent of temperature (T = 77-320 K), while the longer emission lifetime components (τ(em)(l)), as the T2 emissions appeared below the fluid-to-glass transition temperature (Tg ≈ 220 K) in PC, were almost constant at 27 µs in the range of T = 77-220 K. The τ(em)(s) components of the complexes were assigned to the emissions from the metal-to-ligand charge transfer (MLCT) excited states possessing relatively large ligand-centered (LC) excited-state characters (T1(MLCT/LC)), while the τ(em)(l) components were shown to be originating from the T2(MLCT) excited states. The T2(MLCT) states of the complexes became nonemissive above Tg in PC due to fast nonradiative decay through solvent reorganization around the T2(MLCT) excited states. The photophysical properties of the complexes were also shown to be characterized by the presence of the arylethynyl units at the 4-positions of the phen ligands.