Acquired sideroblastic anaemia induced by a copper-chelating agent.

Abstract:

:Acquired sideroblastic anaemia may be related to drugs and other chemicals that inhibit the activity of mitochondrial enzymes involved in haem synthesis. We report a case of secondary acquired sideroblastic anaemia following administration of triethylene tetramine dihydrochloride (trientine), a second-line copper-chelating agent used in the treatment of Wilson's disease. The anaemia improved after dose reduction of trientine. The mechanism of induction of sideroblastic anaemia in this case is unclear, but trientine does not appear to alter the function of two key mitochondrial haem enzymes, and may instead act directly on mitochondrial iron metabolism.

journal_name

Int J Hematol

authors

Perry AR,Pagliuca A,Fitzsimons EJ,Mufti GJ,Williams R

doi

10.1016/0925-5710(96)00457-4

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

69-72

issue

1

eissn

0925-5710

issn

1865-3774

pii

0925571096004574

journal_volume

64

pub_type

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