Pancytopenia, including macrocytic anemia, associated with leflunomide in a rheumatoid arthritis patient.

Abstract:

:A female rheumatoid arthritis patient was admitted for productive cough and general fatigue that had gradually developed after leflunomide therapy. Side effects including severe hypoxia, thrombocytopenia, lymphocytopenia, and macrocytic anemia with schistocytes (probably drug-induced megaloblastic anemia) were noted. Leflunomide-eliminating cholestyramine therapy successfully treated all conditions excluding severe hypoxia, which occurred owing to deteriorating interstitial pneumonia and complicated bacterial pneumonia following antibiotic treatment. This is a rare case of leflunomide-associated multiple hematopoietic impairments.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Toyokawa Y,Kingetsu I,Yasuda C,Yasuda J,Yoshida K,Kurosaka D,Yamada A

doi

10.1007/s10165-007-0613-8

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

436-40

issue

5

eissn

1439-7595

issn

1439-7609

journal_volume

17

pub_type

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