Development of leukocytoclastic vasculitis in a patient with multiple myeloma during treatment with thalidomide

Thalidomide, an agent with antiangiogenic and immunomodulatory properties, is therapeutically effective in multiple myeloma, leprosy, and autoimmune diseases. The most common clinical toxicities of thalidomide are constipation, neuropathy, fatigue, sedation, rash, tremor, and edema. We here describe...

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Main Authors: Witzens-Harig, Mathias (Author) , Möhler, Thomas (Author) , Neben, Kai (Author) , Frühauf, Stefan (Author) , Hartschuh, Wolfgang (Author) , Ho, Anthony Dick (Author) , Goldschmidt, Hartmut (Author)
Format: Article (Journal)
Language:English
Published: [2004]
In: Annals of hematology
Year: 2003, Volume: 83, Issue: 7, Pages: 467-470
ISSN:1432-0584
DOI:10.1007/s00277-003-0804-0
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00277-003-0804-0
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Author Notes:Mathias Witzens, Thomas Moehler, Kai Neben, Stefan Fruehauf, Wolfgang Hartschuh, Anthony D. Ho, Hartmut Goldschmidt
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Summary:Thalidomide, an agent with antiangiogenic and immunomodulatory properties, is therapeutically effective in multiple myeloma, leprosy, and autoimmune diseases. The most common clinical toxicities of thalidomide are constipation, neuropathy, fatigue, sedation, rash, tremor, and edema. We here describe for the first time a patient who developed leukocytoclastic vasculitis during therapy with thalidomide. Of the 260 patients treated with thalidomide in our institution, this is the first patient who developed autoimmune disease. We conclude that patients with malignant disorders who are treated with thalidomide should be carefully monitored for the development of autoimmune disorders. Whether autoimmune phenomena also occur during treatment with new drugs such as PS-341 or potent immunomodulatory agents remains to be evaluated.
Item Description:Published online: 19 November 2003
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Physical Description:Online Resource
ISSN:1432-0584
DOI:10.1007/s00277-003-0804-0