Eosinophilia during fludarabine treatment of chronic lymphocytic leukemia
Although eosinophilia has been reported as a side effect of purine analogues, there is no report on fludarabine-induced eosinophilia in chronic lymphocytic leukemia (CLL). During chemotherapy with fludarabine and cyclophosphamide, we observed two cases of significant eosinophilia. A 67-year-old pati...
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Veröffentlicht in: | Annals of hematology 1999-10, Vol.78 (10), p.475-477 |
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container_title | Annals of hematology |
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creator | SEZER, O SCHMID, P HALLEK, M SCHWEIGERT, M BEINERT, T LANGELOTZ, C MERGENTHALER, H.-G POSSINGER, K |
description | Although eosinophilia has been reported as a side effect of purine analogues, there is no report on fludarabine-induced eosinophilia in chronic lymphocytic leukemia (CLL). During chemotherapy with fludarabine and cyclophosphamide, we observed two cases of significant eosinophilia. A 67-year-old patient with CLL developed bone marrow and peripheral blood eosinophilia up to 7.9x10(9)/l, the highest eosinophil count ever reported during treatment with a purine analogue. The eosinophilia persisted for 33 days. Another patient developed bone marrow eosinophilia without eosinophilia in the peripheral blood. These are the first documented cases of fludarabine-induced eosinophilia in CLL, and this side effect may conceivably be more common than previously recognized. |
doi_str_mv | 10.1007/s002770050602 |
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During chemotherapy with fludarabine and cyclophosphamide, we observed two cases of significant eosinophilia. A 67-year-old patient with CLL developed bone marrow and peripheral blood eosinophilia up to 7.9x10(9)/l, the highest eosinophil count ever reported during treatment with a purine analogue. The eosinophilia persisted for 33 days. Another patient developed bone marrow eosinophilia without eosinophilia in the peripheral blood. These are the first documented cases of fludarabine-induced eosinophilia in CLL, and this side effect may conceivably be more common than previously recognized.</description><identifier>ISSN: 0939-5555</identifier><identifier>EISSN: 1432-0584</identifier><identifier>DOI: 10.1007/s002770050602</identifier><identifier>PMID: 10550560</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Aged ; Agent Orange ; Antineoplastic Agents - adverse effects ; Antineoplastic Agents - therapeutic use ; Biological and medical sciences ; Blood diseases ; Bone marrow ; Drug toxicity and drugs side effects treatment ; Eosinophilia - chemically induced ; Humans ; Leukemia ; Leukemia, Lymphocytic, Chronic, B-Cell - drug therapy ; Male ; Medical sciences ; Middle Aged ; Pharmacology. 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During chemotherapy with fludarabine and cyclophosphamide, we observed two cases of significant eosinophilia. A 67-year-old patient with CLL developed bone marrow and peripheral blood eosinophilia up to 7.9x10(9)/l, the highest eosinophil count ever reported during treatment with a purine analogue. The eosinophilia persisted for 33 days. Another patient developed bone marrow eosinophilia without eosinophilia in the peripheral blood. These are the first documented cases of fludarabine-induced eosinophilia in CLL, and this side effect may conceivably be more common than previously recognized.</description><subject>Aged</subject><subject>Agent Orange</subject><subject>Antineoplastic Agents - adverse effects</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Blood diseases</subject><subject>Bone marrow</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Eosinophilia - chemically induced</subject><subject>Humans</subject><subject>Leukemia</subject><subject>Leukemia, Lymphocytic, Chronic, B-Cell - drug therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacology. 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subjects | Aged Agent Orange Antineoplastic Agents - adverse effects Antineoplastic Agents - therapeutic use Biological and medical sciences Blood diseases Bone marrow Drug toxicity and drugs side effects treatment Eosinophilia - chemically induced Humans Leukemia Leukemia, Lymphocytic, Chronic, B-Cell - drug therapy Male Medical sciences Middle Aged Pharmacology. Drug treatments Toxicity: blood Vidarabine - adverse effects Vidarabine - analogs & derivatives Vidarabine - therapeutic use |
title | Eosinophilia during fludarabine treatment of chronic lymphocytic leukemia |
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