Frequent blood transfusions are necessary in aplastic anemia because of decreased hematopoietic function. In order to maintain the hemoglobin level and to decrease the need for blood transfusion, human ceruloplasmin was used for the treatment of 73 patients with aplastic anemia. A marked beneficial effect was obtained in 16 cases. The treatment was moderately effective in 17 cases, slightly effective in eight cases, and ineffective in 32 cases. The usual dose of ceruloplasmin was 15 mg/day, but it was varied according to symptoms. Side effects were minimal when ceruloplasmin was administered by slow intravenous injection.
JEADV percentage was 9.6% on days 11-20 and increased to about 21% on days 41-49 (Fig. 1). We think that the skin-disorder patients refrained from consulting a doctor right after the disaster because they felt that patients with life-threatening diseases should have priority. Skin disease, however, significantly reduces the evacuees' quality of life and more patients have started consulting doctors for skin problems.Dermatologists have an important role after a huge natural disaster like a tsunami, as there are a substantial number of skindisorder patients whose need for treatment has increased in the months after the disaster.
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