[A case of prolonged hematopoietic depression after acute radiation sickness in a man who worked in the cleanup of the aftereffects of the accident at the Chernobyl Atomic Electric Power Station]
A total of 18 patients with acute leukemia from those exposed to radiation when they had liquidated the consequences of the accident at the Chernobyl Atomic Power Station were examined. Sixteen of them had acute myeloblast cell leukemia, one had acute lymphatic leukemia, and another one had acute promyelocytic leukemia. A complex of hematological, immunocytological, and cytochemical findings, as well as leukocytic and erythrocytic genetically determined antigen typing were used for diagnosis. Signs of severe vegetovascular dystonia was found to be followed by acute leukemia in all the patients. A relationship was established between the therapy resistance and the HLA antigen homozygosity in combination with genetically-determined low reactivity. There were no significant differences between the parameters in question and those in patients with acute leukemia who had been studied in the preaccident period.
Condition of blood kinin system was studied in persons engaged on liquidation of Chernobyl accident sequels in 1986 and subjected to levels of ionizing radiation ranging up to 1 Gy. Activation of kininogenesis in such persons manifested in rise of the initial protaminolytic blood activity, partial decrease of prekallikrein level and imbalance on the part of the blood inhibitory potential in the form of alpha-2-macroglobulin level fall and increase of general blood antiproteolytic activity.
[The characteristics of the pre- and leukemic stages of chronic myeloproliferative diseases in persons suffering as a result of the Chernobyl catastrophe]
Clinical, morphological and cytogenetic investigations were done in those patients with leukocytosis having become victims of the Chernobyl catastrophe. Of these (n = 10), six patients demonstrated chromosomal abnormalities. In the study made at a later date in six patients with cytogenetic abnormalities, five patients were found to have chronic myeloproliferative disorders, with four cases presenting with chronic myeloid leukemia and one patient having osteomyelofibrosis.
