Abstract
A 45-year-old male patient with CRF undergoing CAPD was admitted to our hospital in March 1988 because of bloody peritoneal effluent due to blastic crisis of coexisting chronic myelogenous leukemia (CML). He was started on HD in August 1982, and switched to CAPD in June 1983, when he was found to have associated CML Chemotherapy with busulphan was started in December 1983 and hematologically successful effect was obtained. Thereafter was CAPD carried on with no major problems until the admission. On admission, marked splenomegaly was noted. His laboratory data revealed a prominent increase inblastic cells in both peripheral blood and bone marrow confirming the diagnosis of CML Immediately after admission he was treated initially with 6MP, and then with VCR and PSL with no benefical response. He died of fungal peritonitis in June 1988. He survived for so long as 5 years undergoing CAPD after the diagnosis of CML.
