Journals / Turkish Journal of Hematology / 2009 / Cilt: 26 - Sayı: 3

Hipertrikoz; Hemofagositik lenfohistiositozu olan ve HLH-2004 kemoterapi protokolü uygulanan hastada siklosporine bağlı gelişen olası yan etki

Hypertrichosis: The possible side effect of cyclosporin in an infant with hemophagocytic lymphohistiocytosis receiving HLH-2004 chemotherapy protocol

Pages
154–156
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)

Herein, we present a 13- month-old infant, who developed severe hypertrichosis after the administration of HLH-2004 treatment protocol and discuss the various hypotheses regarding the causal relationship between cyclosporine A and hypertrichosis, emphasizing the importance of patient follow up.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Hemophagocytic lymphohistiocytosis is a life-threatening condition of severe hyperinflammation that results from an uncontrolled proliferation of activated lymphocytes and histiocytes secreting high amounts of inflammatory cytokines.
📊
Key Findings & Data:The immediate treatment strategies include immune suppressive therapy such as corticosteriod, etaposide and cyclosporin A.
💡
Conclusion & Impact:Herein, we present a 13- month-old infant, who developed severe hypertrichosis after the administration of HLH-2004 treatment protocol and discuss the various hypotheses regarding the causal relationship between cyclosporine A and hypertrichosis, emphasizing the importance of patient follow up.
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Hipertirikozis · Süt çocuğu · Erkek

Abstract

Hemophagocytic lymphohistiocytosis is a life-threatening condition of severe hyperinflammation that results from an uncontrolled proliferation of activated lymphocytes and histiocytes secreting high amounts of inflammatory cytokines. The immediate treatment strategies include immune suppressive therapy such as corticosteriod, etaposide and cyclosporin A. Herein, we present a 13- month-old infant, who developed severe hypertrichosis after the administration of HLH-2004 treatment protocol and discuss the various hypotheses regarding the causal relationship between cyclosporine A and hypertrichosis, emphasizing the importance of patient follow up.

Özet

Hemofagositik lenfohistiositoz yüksek düzeylerde enflamatuvar sitokin salgılayan, kontrol edilemeyen aktif lenfosit ve histiosit proliferasyonu ile seyreden ağır enflamasyonun görüldüğü hayatı tehdit eden bir hastalıktır. Tedavi stratejileri arasında korikosteroid, etoposid, ve siklosporin gibi immünsupresif tedaviler yer almaktadır. Bu raporda hemofagositik lenfohistiositoz tanısı alan ve HLH-2004 protokolüne uygun tedavi sonrası ağır hipertrikoz gelişen 13 aylık bir hasta anlatılmıştır. Siklosporin A ve hipertrikoz arasındaki nedensel hipotez tartışılmış ve hasta takibinin önemi anlatılmıştır.

🔖

Cite This Article

AKGÜL, S., BALCI, Y. I., ÜNAL, Ş., ALİKAŞİFOĞLU, A., GÜRGEY, A. (2009). Hipertrikoz; Hemofagositik lenfohistiositozu olan ve HLH-2004 kemoterapi protokolü uygulanan hastada siklosporine bağlı gelişen olası yan etki. Turkish Journal of Hematology, Cilt: 26 - Sayı: 3, 154–156. https://ajindex.com/articles/413017

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Henter JI, Horne A, Arico M, Egeler RM, Filipovich AH, Imashuku S, Egeler RM, Filipovich AH, Imashuku S, Ladisch S, McClain K, Webb D, Winiarski J, Janka G. HLH-2004: diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis. Pediatr Blood Cancer 2007;48:124-31
  2. Janka GE, Schneider EM. Modern management of children with haemophagocytic lymphohistiocytosis. Br J Haematol 2004;124:4-14
  3. Gürgey A, Göğüş S, Ozyürek E, Aslan D, Gümrük F, Cetin M, Yüce A, Ceyhan M, Seçmeer G, Yetgin S, Hiçsönmez G. Primary hemophagocytic lymphohistiocytosis in Turkish children. Pediatr Hematol Oncol 2003;20:367-71
  4. Gurgey A, Secmeer G, Tavil B, Ceyhan M, Kuskonmaz B, Cengiz B, Ozen H, Kara A, Cetin M, Gumruk F. Secondary hemophagocytic lymphohistiocytosis in Turkish children. Pediatr Infect Dis J 2005;24:1116-7
  5. Fernando ON, Sweny P, Varghese Z. Elective conversion of patients from cyclosporine to tacrolimus for hypertrichosis. Transplant Proc 1998;30:1243-4
  6. Shibli-Rahhal A, Van Beek M, Schlechte JA. Cushing’s syndrome. Clin Dermatol 2006;24:260–5
  7. Wendelin DS, Pope ND, Mallory SB. Hypertrichosis. J Am Acad Dermatol 2003;48:161-79
  8. Wendelin DS, Mallory GB, Mallory SB. Depilation in a 6-month-old with hypertrichosis: a case report. Pediatr Dermatol 1999;16:311-3
  9. Wysocki GP, Daley TD. Hypertrichosis in patients receiving cyclosporine therapy. Clin Exp Dermatol. 1987;12:191-6
  10. Mecklenburg L, Tychsen B, Paus R. Learning from nudity: lessons from the nude phenotype. Exp Dermatol. 2005;14:797-810
  11. Cutolo M, Giusti M, Villaggio B, Barone A, Accardo S, Sulli A, Granata O, Carruba G, Castagnetta L. Testosterone metabolism and cyclosporin A treatment in rheumatoid arthritis. Br J Rheumatol 1997;36:433-9
  12. Boudou P, Fiet J, Vexiau P, Villette JM, Hardy N, Dreux C. Greater conversion of testosterone to 5 alpha-dihydrotestosterone, reflecting increased peripheral 5 alpha-reductase activity in nude mice treated with high doses of cyclosporine A. J Steroid Biochem 1990;28:597-601
  13. Lindholm A, Pousette A, Carlstrom K, Klintmalm G. Cyclosporinassociated hypertrichosis is not related to sex hormone levels following renal transplantation. Nephron 1988;50:199-204
  14. Schmidt JB, Gebhart W, Kopsa H, Spona J. Does cyclosporine A influence sex hormone level? Exp Clin Endocrinol 1986;88:207-11
  15. Fisher EJ, Berk DR, Greene RE, Shaner P, Sweet SC, Mallory SB. Preferred methods of excess hair removal in pediatric patients with lung trans