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
Hauptverfasser: SEZER, O, SCHMID, P, HALLEK, M, SCHWEIGERT, M, BEINERT, T, LANGELOTZ, C, MERGENTHALER, H.-G, POSSINGER, K
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container_end_page 477
container_issue 10
container_start_page 475
container_title Annals of hematology
container_volume 78
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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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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