CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH ANTITHYROID-INDUCED AGRANULOCYTOSIS IN CHO RAY HOSPITAL

Võ Anh Tuấn Phạm1, Đức Minh Đỗ1,2,
1 Cho Ray Hospital
2 Ho Chi Minh City University of Medicine and Pharmacy

Main Article Content

Abstract

Objective: To investigate clinical and laboratory characteristics of patients diagnosed with antithyroid- induced agranulocytosis in Cho Ray hospital. Subjects: Data of 40 patients with antithyroid- induced agranulocytosis were collected. Method: Retrospective study. Results: Median age of studied population was 40,5 with the majority were females treated with Methimazole. Major symptoms were fever and sore throat. Median granulocytes at admission were 65/µL and hyperthyroidism was not well controlled in most of the patients. Median time for granulocyte recovery was 6 days. ConclusionsAntithyroid-induced agranulocytosis is a rare but lethal complication, therefore, predictive biomarker for this adverse reaction need to be studied and identified.

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References

1. Cooper DS. Antithyroid drugs. N Engl J Med. 2005;352(9):905-917. doi:10.1056/NEJMra042972
2. Sheng WH, Hung CC, Chen YC, et al. Antithyroid-drug-induced agranulocytosis complicated by life-threatening infections. QJM. 1999;92(8):455-461.
3. Nakamura H, Miyauchi A, Miyawaki N, Imagawa J. Analysis of 754 cases of antithyroid drug-induced agranulocytosis over 30 years in Japan. J Clin Endocrinol Metab. 2013; 98(12):4776-4783. doi:10.1210/jc.2013-2569
4. Andrès E, Federici L, Weitten T, Vogel T, Alt
M. Recognition and management of drug-induced blood cytopenias: the example of drug-induced acute neutropenia and agranulocytosis. Expert Opinion on Drug Safety. 2008;7(4):481-489. doi:10.1517/14740338.7.4.481
5. Brent GA. Clinical practice. Graves’ disease. N Engl J Med. 2008; 358(24): 2594-2605. doi: 10.1056/ NEJMcp0801880
6. Thao MP, Tuan PVA, Linh LGH, et al. Association of HLA-B∗38:02 with Antithyroid Drug- Induced Agranulocytosis in Kinh Vietnamese Patients. Int J Endocrinol. 2018;2018:7965346. doi:10.1155/2018/7965346
7. Kim HK, Yoon JH, Jeon MJ, et al. Characteristics of Korean Patients with Antithyroid Drug-Induced Agranulocytosis: A Multicenter Study in Korea. Endocrinol Metab (Seoul). 2015;30(4): 475-480. doi: 10.3803/ EnM. 2015.30.4.475