Journals / Bakırköy Tıp Dergisi / 2015 / Cilt: 11 - Sayı: 4

Agranulocytosis due to propylthiouracil treatment: a case report

Propiltiourasil Kullanımına Bağlı Agranülositoz: Olgu Sunumu

Pages
167–169
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We present a case of hyperthyroidism due to Graves disease who was admitted with the typical signs of agranulocytosis at two months after the initiation of therapy and treated successfully with granulocyte colony stimulating factor.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Propylthiouracil (PTU) is a commonly used anti-thyroid drug in the treatment of hyperthyroidism due to Graves disease.
📊
Key Findings & Data:Life-threatening complications such as agranulocytosis may occur during the treatment of PTU.
💡
Conclusion & Impact:We present a case of hyperthyroidism due to Graves disease who was admitted with the typical signs of agranulocytosis at two months after the initiation of therapy and treated successfully with granulocyte colony stimulating factor.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Propylthiouracil (PTU) is a commonly used anti-thyroid drug in the treatment of hyperthyroidism due to Graves disease. Life-threatening complications such as agranulocytosis may occur during the treatment of PTU. We present a case of hyperthyroidism due to Graves disease who was admitted with the typical signs of agranulocytosis at two months after the initiation of therapy and treated successfully with granulocyte colony stimulating factor.

Özet

Propiltiourasil (PTU) Graves hastalığına bağlı hipertiroidinin tedavisinde sıklıkla kullanılan antitiroid bir ilaçtır. PTU kullanımı sırasında nadir de olsa agranülositoz gibi hayatı tehdit eden komplikasyonlar ortaya çıkabilmektedir. Graves hastalığına bağlı hipertiroidi nedeniyle propiltiourasil tedavisi başlandıktan 2 ay sonra tipik agranülositoz belirtileri ile başvurup tanı koyduğumuz ve granülosit koloni stimüle edici faktör kullanımı ile başarıyla tedavi ettiğimiz bir olguyu sunuyoruz.

🔖

Cite This Article

SABUNCU, T., ERREN, M. A., KURNAZ, F., TORUN, A. N., BATUK, U. S. (2015). Agranulocytosis due to propylthiouracil treatment: a case report. Bakırköy Tıp Dergisi, Cilt: 11 - Sayı: 4, 167–169. https://ajindex.com/articles/128881

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Laurberg P, Pedersen KM, Vestergaard H, Sigurdsson G. High incidence of multinodular toxic goitre in the elderly population in a low iodine intake area vs. high incidence of Graves’ disease in the young in a high iodine intake area: comparative surveys of thyrotoxicosis epidemiology in East-Jutland Denmark and Iceland. J Intern Med 1991; 229: 415-420
  2. Wing SS, Fantus IG. Adverse immunologic effects of antithyroid drugs. CMAJ 1987; 136: 121-127
  3. Sun MT, Tsai CH, Shih KC. Antithyroid drug-induced agranulocytosis. J Chin Med Assoc 2009; 72: 438-441
  4. Mutharasan P, Oatis W, Kwaan H, Molitch M. Delayed antithyroid drug-induced agranulocytosis. Endocr Pract 2012; 18: e 69-72
  5. Khaliq W, Ponor L, Cheripalli P, Tangella K, Chaudhry Z. Agranulocytosis secondary to propylthiouracil. QJM 2012; 105: 1109-1111
  6. Frenkel J, Tellez R, Reyes C, Gonzalez G, Michaud P. Major adverse reactions to propylthiouracil in 586 cases of hyperthyroidism. Rev Med Chil 1993; 121: 1289-1294
  7. Andrès E, Maloisel F. Idiosyncratic drug-induced agranulocytosis or acute neutropenia. Curr Opin Hematol 2008; 15: 15-21
  8. Tajiri J, Noguchi S, Murakami T, Murakami N. Antithyroid druginduced agranulocytosis. The usefulness of routine white blood cell count monitoring. Arch Intern Med 1990; 150: 621-624
  9. Copper DS. The side effects of antithyroid drugs. Endocrinologist 1999; 9: 457-467
  10. Wall JR, Fang SL, Kuroki T, Ingbar SH, Braverman LE. In vitro immunoreactivity to propylthiouracil, methimazole, and carbimazole in patients with Graves’ disease: a possible cause of antithyroid drug-induced agranulocytosis. J Clin Endocrinol Metab 1984; 58: 868-872
  11. Julia A, Olona M, Bueno J ve arkadaşları. Drug-induced agranuloctyosis: prognostic factors in a series of 168 episodes. Br J Haematol 1991; 79: 366-372
  12. Andre`s E, Maloisel F, Kurtz JE, et al. Modern management of non-chemotherapy drug-induced agranulocytosis: a monocentric cohort study of 90 cases and review of the literature. Eur J Intern Med 2002; 13: 324-328
  13. Andersohn F, Konzen C, Garbe E. Systematic review: agranulocytosis induced by nonchemotherapy drugs. Ann Intern Med 2007; 146: 657-665
  14. Tamai H, Mukuta T, Matsubayashi S, et al. Treatment of methimazole-induced agranulocytosis using recombinant human granulocyte colony stimulating factor (rhG-CSF). J Clin Endocrinol Metab 1993; 77: 1356-1360
  15. Tiroid Çalışma Grubu. Tiroid Hastalıkları Tanı ve Tedavi Kılavuzu
  16. Baskı, Ankara: Aysun Yayıncılık, 2012: