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Oxaliplatin-Induced Immune-Mediated Thrombocytopenia: A Case Report

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초록

Oxaliplatin is a third-generation platinum derivative used for metastatic or advancedcolorectal cancer treatment. Although myelosuppression is the most common causeof oxaliplatin-induced thrombocytopenia, rare cases of oxaliplatin-induced immunemediatedthrombocytopenia are reported. We report a case of a 57-year-old womanwith colon cancer who developed gum bleeding and petechiae after oxaliplatininfusion. Laboratory tests revealed grade 4 thrombocytopenia and grade 4 neutropenia. She recovered from the thrombocytopenia and accompanying neutropenia within4 days with no recurrence following discontinuation of oxaliplatin. Physicians need tobe aware of the risk of severe acute thrombocytopenia following oxaliplatinadministration.

Abstract

Oxaliplatin is a third-generation platinum derivative used for metastatic or advancedcolorectal cancer treatment. Although myelosuppression is the most common causeof oxaliplatin-induced thrombocytopenia, rare cases of oxaliplatin-induced immunemediatedthrombocytopenia are reported. We report a case of a 57-year-old womanwith colon cancer who developed gum bleeding and petechiae after oxaliplatininfusion. Laboratory tests revealed grade 4 thrombocytopenia and grade 4 neutropenia. She recovered from the thrombocytopenia and accompanying neutropenia within4 days with no recurrence following discontinuation of oxaliplatin. Physicians need tobe aware of the risk of severe acute thrombocytopenia following oxaliplatinadministration.

참고문헌 (13)

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