Drug-induced thrombocytopenia can be caused by dozens, perhapshundreds, of medications. Because thrombocytopenia can havemany other causes, the diagnosis of drug-induced thrombocytopeniacan easily be overlooked. On occasion, outpatients with drug-inducedthrombocytopenia are treated for autoimmune thrombocytopeniaand can have two or three recurrences before the drug causingthe disorder is identified.1 In acutely ill, hospitalized patients,drug-induced thrombocytopenia can be overlooked because thrombocytopeniais attributed to sepsis, the effect of coronary-artery bypasssurgery, or some other underlying condition. Although drug-inducedthrombocytopenia is uncommon, it can have devastating, evenfatal consequences that can usually be prevented simply by discontinuing. . . [Full Text of this Article]
Presentation
Incidence
Causative Agents
Pathogenesis
Thrombocytopenia Induced by Quinine and Other Drugs
Thrombocytopenia Induced by Platelet Inhibitors
Thrombocytopenia Induced by Abciximab
Thrombocytopenia Due to Drug-Induced Autoantibodies
Diagnosis
Treatment and Prognosis
Source Information
From the Department of Medicine, Medical College of Wisconsin (R.H.A.), and the Blood Research Institute, BloodCenter of Wisconsin (R.H.A., D.W.B.) — both in Milwaukee.
Address reprint requests to Dr. Aster at the Blood Research Institute, BloodCenter of Wisconsin, 8727 Watertown Plank Rd., Milwaukee, WI 53226-3548, or at richard.aster@bcw.edu.
Related Letters:
Drug-Induced Immune Thrombocytopenia
Naina H. V.K., Harris S., Matzdorff A. C., Cathomas R., Goldhirsch A., von Moos R., Aster R. H., Bougie D. W.
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N Engl J Med 2007;
357:1869-1871, Nov 1, 2007.
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