Gemcitabine-induced large vessel vasculitis demonstrated by PET CT: a rare, important side effect.

Abstract:

:Gemcitabine is a nucleoside analogue used widely across haemato-oncology. Side effects are generally predictable, and typically consist of cytopenia, nausea, and infection. As the present case clearly demonstrates, gemcitabine is in rare cases associated with life-threatening large vessel vasculitis, which can involve the aorta. It is important to consider gemcitabine-induced vasculitis in non-specifically unwell patients with raised inflammatory markers and fever of unknown origin, with or without signs of vascular compromise. Early recognition, cessation of gemcitabine therapy, and high-dose steroids are critical for a good outcome. PET CT is valuable to diagnose large vessel vasculitis and monitor treatment response.

journal_name

Int J Hematol

authors

Eyre TA,Gooding S,Patel I,Moore N,Hatton C,Collins GP

doi

10.1007/s12185-014-1555-5

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

798-800

issue

6

eissn

0925-5710

issn

1865-3774

journal_volume

99

pub_type

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