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Proceedings SNO                                                    “LXI Congresso Nazionale SNO”




                                                     CAR T-cell toxicities
                    Organ system                                     Toxicities
              Costitutional            Fever
                                       Fatigue and malaise
                                       Headache
              Cardiovascular           Sinus tachycardia
                                       Hyotension
                                       Decreased left ventricular ejection fraction
                                       Arrhythmias
                                       QT prolongation
                                       Troponinemia
              Respiratory              Hypoxia
                                       Dyspnea
                                       Increased respiratori rate
                                       Respiratory failure
                                       Pleural effusions
                                       Capillary leak syndrome
              Renal                    Increased serum creatinine
                                       Renal insufficiency
                                       Hyponatremia
                                       Hypokaliemia
                                       Hypophosphatemia
                                       Tumor lysis syndrome
              Hepatic and Gastrointestinal   Increases in liver transaminases: elevated ASpartate aminoTransferase (AST), ALanine
                                       aminoTransferases (ALT), alkaline phosphatase, or direct bilirubin
                                       Nausea, vomiting
                                       Diarrhea
              Hematologic              Anemia
                                       Thrombocytopenia
                                       Neutropenia
                                       B-cell aplasia
                                       Hypogammaglobulinemia
                                       Prolongation of partial Thromboplastin Time (PTT) or Prothombin Time (PT)
                                       Decreased fibrinogen
                                       Disseminated intravascular coagulation (DIC)
                                       Hemophagocytic lymphohistiocytosis
              Immunologic              Risk of viral infections
                                       Risk of bacterial infections
                                       Risk of fungal infections
              Musculoskeletal          Cratine PhosphoKinase (CPK) elevation
                                       Myalgias
              Neurologic               Delirium, encephalopaty
                                       Somnolence, obtundation
                                       Cognitive disturbance
                                       Dysphasias
                                       Tremors
                                       Ataxia
                                       Myoclonus
                                       Focal motor and sensory defects
                                       Seizures

              Tabella 1.





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