Neutrophil margination as a possible mechanism for verteporfin infusion-associated pain.

Abstract:

PURPOSE:To investigate the changes in absolute neutrophil counts in patients with and without pain after verteporfin infusion. DESIGN:Experimental study. METHODS:The absolute neutrophil counts were obtained from the blood samples taken at the beginning of infusion and after the end of verteporfin infusion. RESULTS:Four patients in whom verteporfin infusion-related pain developed had a decrease in the absolute neutrophil counts from a preinfusion mean of 4,589/mm(3) to a postinfusion mean of 1,688/mm(3) while they had pain, as compared with preinfusion and postinfusion counts of 4,912/mm(3) and 4,111/mm(3), respectively, in five control patients having no pain, a difference in proportion that was significant (P =.027). CONCLUSIONS:Patients in this study with verteporfin infusion-associated pain developed neutropenia during infusion, most likely from drug-induced neutrophil margination. It is possible that medications preventing the transient neutropenia may help avert verteporfin infusion-associated pain.

journal_name

Am J Ophthalmol

authors

Spaide RF,Maranan L

doi

10.1016/s0002-9394(02)01983-9

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

549-50

issue

4

eissn

0002-9394

issn

1879-1891

pii

S0002939402019839

journal_volume

135

pub_type

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