Recognition and management of methemoglobinemia and hemolysis in a G6PD‐deficient patient on experimental anticancer drug Triapine

We report occurrence of severe methemoglobinemia in a patient on novel experimental anti‐cancer drug, Triapine. Treatment with methylene blue led to massive hemolysis due to concomitant G6PD deficiency. We recommend that G6PD screening be done in high‐risk populations prior to commencement of Triapi...

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Veröffentlicht in:American journal of hematology 2006-03, Vol.81 (3), p.210-211
Hauptverfasser: Foltz, Lynda M., Dalal, Bakul I., Wadsworth, Louis D., Broady, Raewyn, Chi, Kim, Eisenhauer, Elizabeth, Kobayashi, Ken, Kollmannsburger, Christian
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container_end_page 211
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container_title American journal of hematology
container_volume 81
creator Foltz, Lynda M.
Dalal, Bakul I.
Wadsworth, Louis D.
Broady, Raewyn
Chi, Kim
Eisenhauer, Elizabeth
Kobayashi, Ken
Kollmannsburger, Christian
description We report occurrence of severe methemoglobinemia in a patient on novel experimental anti‐cancer drug, Triapine. Treatment with methylene blue led to massive hemolysis due to concomitant G6PD deficiency. We recommend that G6PD screening be done in high‐risk populations prior to commencement of Triapine therapy. Am. J. Hematol. 81:210–211, 2006. © 2006 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ajh.20547
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subjects Anemias. Hemoglobinopathies
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - adverse effects
Biological and medical sciences
Carcinoma, Renal Cell - complications
Carcinoma, Renal Cell - drug therapy
Diseases of red blood cells
experimental anti‐cancer drug
G6PD deficiency
G6PD screening
Glucosephosphate Dehydrogenase Deficiency - complications
Hematologic and hematopoietic diseases
hemolysis
Hemolysis - drug effects
Humans
Medical sciences
Methemoglobinemia - chemically induced
Middle Aged
Pyridines - administration & dosage
Pyridines - adverse effects
severe methemoglobinemia
Thiosemicarbazones - administration & dosage
Thiosemicarbazones - adverse effects
Triapine
title Recognition and management of methemoglobinemia and hemolysis in a G6PD‐deficient patient on experimental anticancer drug Triapine
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