Microangiopathic hemolytic anemia complicating FK506 (tacrolimus) therapy.

Abstract:

:We describe 3 episodes of microangiopathic hemolytic anemia (MAHA) in 2 solid organ recipients under FK506 (tacrolimus) therapy. In both cases, discontinuation of FK506 and treatment with plasma exchange, fresh frozen plasma replacement, corticosteroids, aspirin, and dipyridamole led to resolution of MAHA. In one patient, reintroduction of FK506 led to rapid recurrence of MAHA. FK506-associated MAHA is probably rare but physicians must be aware of this severe complication. In our experience and according to the literature, FK506 does not seem to cross-react with cyclosporin A (CyA), an immuno-suppressive drug already known to induce MAHA.

journal_name

Am J Hematol

authors

Mach-Pascual S,Samii K,Beris P

doi

10.1002/(SICI)1096-8652(199608)52:4<310::AID-AJH11

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

310-2

issue

4

eissn

0361-8609

issn

1096-8652

pii

10.1002/(SICI)1096-8652(199608)52:4<310::AID-AJH11

journal_volume

52

pub_type

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