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Why do infants being treated for acute lymphoblastic leukaemia fail to thrive?
  1. E Ward1,
  2. S Kinsey2,
  3. M Richards2
  1. 1Dietetic Department, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK; paediatric_dietitian.sjuh@leedsth.nhs.uk
  2. 2Yorkshire Regional Centre for Paediatric Oncology & Haematology

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Figure 1 shows the weight gain of five infants treated for acute lymphoblastic leukaemia (ALL) in relation to centile chart positions, who were treated at the Yorkshire Regional Centre for Paediatric Oncology and Haematology from 1996 until the present. Patients 1–4 were treated in accordance with the MRC UKALL Infant 1 chemotherapy protocol,1 and patient 5 in accordance with Interfant 99.2

The most striking aspect is that from diagnosis to end of intensive therapy …

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