Immune-mediated thrombocytopenia resulting from sensitivity to oxaliplatin.

Abstract:

:Thrombocytopenia developing in the course of chemotherapy for malignant disease is usually attributed to drug-induced marrow suppression and/or marrow replacement by tumor. We describe two patients who developed severe thrombocytopenia and hemorrhagic symptoms while being treated with oxaliplatin, 5-fluorouracil, and leukovorin for metastatic colon cancer in whom platelet destruction appears to have been caused by oxaliplatin-dependent antibodies specific for the platelet glycoprotein IIb/IIIa complex (alpha(IIb)/beta(3) integrin). Drug-induced immune thrombocytopenia (DITP) should be considered in patients who experience a sudden, isolated drop in platelet levels while being treated with chemotherapeutic agents, especially when adequate numbers of megakaryocytes are present in the bone marrow.

journal_name

Am J Hematol

authors

Curtis BR,Kaliszewski J,Marques MB,Saif MW,Nabelle L,Blank J,McFarland JG,Aster RH

doi

10.1002/ajh.20516

keywords:

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

193-8

issue

3

eissn

0361-8609

issn

1096-8652

journal_volume

81

pub_type

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