Aplastic anemia secondary to azathioprine in systemic lupus erythematosus: report of a case with normal thiopurine S-methyltransferase enzyme activity and review of the literature.

Abstract:

:Azathioprine-induced aplastic anemia and fatal myelosuppression is a rare occurrence in patients with systemic lupus erythematosus (SLE). We report a case of a 53-year-old female with a normal thiopurine S-methyltransferase (TPMT) level who developed aplastic anemia within 4 weeks of azathioprine initiation, resulting in death. Physicians should be vigilant in monitoring routine blood work when administering azathioprine, a relatively common drug, in patients with SLE.

journal_name

Lupus

journal_title

Lupus

authors

Yeter KC,Afkhami M,Brynes RK,Quismorio FP Jr

doi

10.1177/0961203313504636

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1526-8

issue

14

eissn

0961-2033

issn

1477-0962

pii

0961203313504636

journal_volume

22

pub_type

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