Azathioprine Therapy in a Pediatric TPMT-Deficient Patient-Still an Option.

Abstract:

:We describe the case of a pediatric patient on azathioprine therapy with previously undiagnosed homozygote thiopurine S-methyltransferase (TPMT) deficiency, resulting in myelotoxic thiopurine metabolite levels. The patient was successfully treated with a very low azathioprine dose of 50 mg once a week (4% of standard dose), guided by frequent thiopurine metabolite measurement and a close clinical surveillance. We demonstrate that azathioprine therapy still might be an effective and safe therapeutic option in pediatric thiopurine S-methyltransferase-deficient IBD patients.

journal_name

Ther Drug Monit

authors

van Moorsel SA,Bevers N,Meurs M,van Rossum LK,Hooymans PM,Wong DR

doi

10.1097/FTD.0000000000000366

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

1-4

issue

1

eissn

0163-4356

issn

1536-3694

pii

00007691-201702000-00001

journal_volume

39

pub_type

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