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Editor,—Birkebæck and Clausen reported auxological data in very long term survivors of acute lymphoblastic leukaemia (ALL) in first complete remission.1 We also evaluated long term survivors of childhood cancer, including acute leukaemia.2 To compare our data with those of Birkebæck and Clausen we used the same selection criteria. Twelve of 26 survivors received chemotherapy (C) alone and 14 chemotherapy plus cranial irradiation (C + I). Median age at diagnosis, at the end of treatment, and at evaluation were similar to Birkebæck and Clausen’s patients (5.3 v 4.3, 8.1v 7.25, and 19.3v 20.5 years, respectively).
Poor nutritional status at diagnosis (−1.01 body mass index standard deviation score (BMISDS) for the C group and −1.03 for the C + I group) improved during treatment (−0.23 and 0 BMISDS for each group at the end of treatment). We confirm the frequency of obesity (31% …