Granulocytopenia complicating colchicine therapy for primary biliary cirrhosis.

Abstract:

:A case is presented of a 76-yr-old woman with primary biliary cirrhosis and adult polycystic liver disease who developed bone marrow toxicity associated with chronic low-dose colchicine therapy. Two months after starting colchicine therapy (0.6 mg b.i.d. p.o.), the patient developed hematologic toxicity as evidenced by transient but profound granulocytopenia which promptly reversed 4 days after the drug was stopped. Bone marrow examination revealed moderate hypocellularity of all cell lines and striking dysplastic changes in the late myeloid and erythroid series. There was no apparent toxicity involving other organ systems. The patient fully recovered. This case is compared with previous descriptions of colchicine toxicity.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Finklestein M,Goldman L,Grace ND,Foley M,Randall N

doi

10.1016/0016-5085(87)90249-6

subject

Has Abstract

pub_date

1987-12-01 00:00:00

pages

1231-5

issue

6

eissn

0016-5085

issn

1528-0012

pii

0016-5085(87)90249-6

journal_volume

93

pub_type

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