Delayed methimazole-induced agranulocytosis in a 6-year old patient with Graves' disease.

Vidya Puthenpura, Kinjal Desai, Andrew Bauer, Ian Marshall
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引用次数: 2

Abstract

Background: Agranulocytosis is regarded as a rare side effect of methimazole (MMI) therapy that occurs in a dose dependent manner and that usually develops within the first 3-6 months of treatment. Although delayed development beyond this timeline has been documented in adults, very few children have been reported with this presentation.

Case presentation: We present a 6-year old patient who developed agranulocytosis 18 months after the start of MMI therapy.

Conclusions: This is an unusual case of a 6-year old patient who developed this serious side effect on stable MMI therapy well beyond the typical timeline. Our review of the literature revealed that there really is inconclusive data on the incidence, time, and dose-dependency of MMI-induced agranulocytosis in the pediatric Graves' disease population.

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6岁Graves病患者迟发性甲巯咪唑诱导的粒细胞缺乏症
背景:粒细胞缺乏症被认为是甲巯咪唑(MMI)治疗的一种罕见的副作用,它以剂量依赖的方式发生,通常在治疗的前3-6个月内发生。虽然在成人中有超过这个时间线的发育延迟的记录,但很少有儿童报告有这种表现。病例介绍:我们报告了一位6岁的患者,他在MMI治疗开始18个月后出现了粒细胞缺乏症。结论:这是一个罕见的6岁患者,在稳定的MMI治疗中出现了严重的副作用,远远超过了典型的时间。我们对文献的回顾显示,在小儿Graves病人群中,mmi诱导的粒细胞缺乏症的发生率、时间和剂量依赖性方面确实存在不确定的数据。
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