Article ; Online: Aortitis after switching short-acting granulocyte colony-stimulating factors in a lymphoma patient with HLA-B52.
International journal of hematology
2024
Abstract: Aortitis is a rare adverse event of granulocyte colony-stimulating factor (G-CSF) treatment. Several previous studies have described recurrent aortitis caused by re-administration of the same G-CSF. However, no previous studies have examined the safety ... ...
Abstract | Aortitis is a rare adverse event of granulocyte colony-stimulating factor (G-CSF) treatment. Several previous studies have described recurrent aortitis caused by re-administration of the same G-CSF. However, no previous studies have examined the safety of switching between short-acting G-CSFs in patients who develop aortitis. We report the case of a 55-year-old man with refractory diffuse large B-cell lymphoma, who developed G-CSF-associated aortitis. The aortitis was triggered by filgrastim and recurred after treatment with lenograstim. The patient possessed human leukocyte antigen B52, which has been implicated in Takayasu arteritis. In addition, a drug-induced lymphocyte stimulation test for lenograstim performed upon detection of recurrent G-CSF-associated aortitis produced a positive result. Our case suggests that switching from one short-acting G-CSF to another does not prevent recurrence of G-CSF-associated aortitis. Although the etiology of G-CSF-associated aortitis has not been fully elucidated, our case also suggests that some patients may be genetically predisposed to aortitis. |
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Language | English |
Publishing date | 2024-03-23 |
Publishing country | Japan |
Document type | Journal Article |
ZDB-ID | 1076875-0 |
ISSN | 1865-3774 ; 0917-1258 ; 0925-5710 |
ISSN (online) | 1865-3774 |
ISSN | 0917-1258 ; 0925-5710 |
DOI | 10.1007/s12185-024-03744-w |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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