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Influence of radiation exposure on occurrence of radiation sickness and acute leucemia

Abstract

The authors present data of prolonged clinical observation of patient underwent relatively uniform radiation exposure (4,3 Gy). Stable RBC and WBC counts within normal ranges were seen over 27 years. Neutrophils count transitory exceeded normal values probably due to exacerbation of chronic diseases in the patient (chronic tonsillitis and chronic bronchitis). Lymphocyte and platelet conts were the least stable: frequent lymphocytosis, lymphopenia and nearly constant (over 27 years) transitory moderate thrombocytopenia. Usually thrombocytopenia was considered as a manifestation of chronic persistent hepatitis. Cytogenetic studies of peripheral lymphocytes cultures via trichromatic FISH-method demonstrated presence of high levels of translocations - that indicates their presence in other cell lines and could be a source of malignant transformation. The discussion section considers various ways of leucosis clone formation. The conclusion stresses that the studied leucemia case is a polyethiologic disease with undoubtfully high contribution of accidental radiation exposure.

About the Authors

I. A. Galstyan
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


V. Yu. Nugis
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


L. A. Suvorova
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


N. M. Nadezhina
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


A. A. Davtyan
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


V. A. Nikitina
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


M. G. Kozlova
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


D. A. Dubovoy
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


E. I. Dobrovol'skaya
State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
Russian Federation


I. K. Khvostunov
A. Tsyb Medical Radiological Research Center - branch of the National Medical Research Radiological Center of the Ministry of Health of the Russian Federation
Russian Federation


E. V. Golub
A. Tsyb Medical Radiological Research Center - branch of the National Medical Research Radiological Center of the Ministry of Health of the Russian Federation
Russian Federation


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Review

For citations:


Galstyan I.A., Nugis V.Yu., Suvorova L.A., Nadezhina N.M., Davtyan A.A., Nikitina V.A., Kozlova M.G., Dubovoy D.A., Dobrovol'skaya E.I., Khvostunov I.K., Golub E.V. Influence of radiation exposure on occurrence of radiation sickness and acute leucemia. Russian Journal of Occupational Health and Industrial Ecology. 2017;(4):56-62. (In Russ.)

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