Asymptomatic thrombocytopenia after nintedanib initiation in a patient with progressive pulmonary fibrosis: a case report and review of literature.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Medical Case Reports Pub Date : 2024-09-29 DOI:10.1186/s13256-024-04790-y
Xinxin Zhang, Kan Zhang, Nannan Zhao, Na Xi, Tiemei Zhao
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Abstract

Background: Nintedanib is a primary antifibrosing medication available for idiopathic pulmonary fibrosis, systemic sclerosis-interstitial lung disease, and progressive pulmonary fibrosis, with scattered report of drug-induced thrombocytopenia.

Case report: A 60-year-old Asian male with no history of thrombocytopenia was administered with nintedanib to treat progressive pulmonary fibrosis. The platelet count dropped rapidly after introduction of nintedanib and resolved gradually by withdrawal of the medication along with thrombopoietin receptor agonist.

Conclusion: Based on experience from the limited reports, nintedanib-induced thrombocytopenia is typically reversible and manageable. Close monitoring of platelet counts in patients receiving this medication should be warranted.

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一名进行性肺纤维化患者在服用宁替达尼后出现无症状血小板减少:病例报告和文献综述。
背景:宁替达尼是一种主要的抗纤维化药物,可用于治疗特发性肺纤维化、系统性硬化-间质性肺病和进行性肺纤维化,有药物诱发血小板减少的零星报道:一名无血小板减少病史的 60 岁亚洲男性服用宁替达尼治疗进行性肺纤维化。使用宁替达尼后,血小板计数迅速下降,停药并停用促血小板生成素受体激动剂后,血小板计数逐渐下降:根据有限报告的经验,宁替尼所诱发的血小板减少通常是可逆和可控的。接受该药治疗的患者应密切监测血小板计数。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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