Low-dose thalidomide-induced agranulocytosis in a multiple myeloma patient treated at diagnosis.

Abstract:

:Thalidomide represents a recent and innovative therapeutic approach in multiple myeloma. Main toxicity usually consists in somnolence, constipation, peripheral neuropathy and deep vein thrombosis, but, unlike alkylating agents, thalidomide is reported to rarely induce severe hematologic toxicity. The majority of patients developing neutropenia are heavily pretreated with three or more lines of chemotherapy. Here, we report, for the first time, clinical and laboratory data of a 66-year-old female patient with multiple myeloma at diagnosis who, after 4 weeks of thalidomide treatment, developed a grade 4 WHO neutropenia with septicemia. A brief review of the literature and suggestions for possible predictive factors of this toxicity are made.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Mazzotta S,Gozzetti A,Pirrotta MT,Bocchia M,Sammassimo S,Bucalossi A,Lauria F

doi

10.1080/10428190500237450

keywords:

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

1837-8

issue

12

eissn

1042-8194

issn

1029-2403

pii

R5073746112R7NR4

journal_volume

46

pub_type

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