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一名患有T-γ淋巴细胞增殖性疾病的患者在使用重组粒细胞-巨噬细胞集落刺激因子(rhGM-CSF)后出现嗜酸性粒细胞增多。

Eosinophilia resulting from administration of recombinant granulocyte-macrophage colony-stimulating factor (rhGM-CSF) in a patient with T-gamma lymphoproliferative disease.

作者信息

Gonzales-Chambers R, Rosenfeld C, Winkelstein A, Dameshek L

机构信息

Department of Internal Medicine, University of Pittsburgh, School of Medicine, Pennsylvania.

出版信息

Am J Hematol. 1991 Feb;36(2):157-9. doi: 10.1002/ajh.2830360219.

DOI:10.1002/ajh.2830360219
PMID:2012068
Abstract

A therapeutic trial of recombinant human granulocyte-macrophage colony-stimulating factor (rhGM-CSF) was attempted in a patient with neutropenia and frequent infections secondary to T-gamma lymphoproliferative disease (T-gamma LPD). During the 14 days of subcutaneous rhGM-CSF (500 micrograms/m2/day), the absolute eosinophil count increased from 0 to 9,455/microliters. By contrast, the absolute neutrophil count decreased. Toxicity related to rhGM-CSF included arthralgia and nonspecific chest pain. The possible mechanism for the rhGM-CSF induced selective eosinophilia is discussed.

摘要

对一名因Tγ淋巴细胞增殖性疾病(TγLPD)继发中性粒细胞减少和频繁感染的患者进行了重组人粒细胞-巨噬细胞集落刺激因子(rhGM-CSF)的治疗试验。在皮下注射rhGM-CSF(500微克/平方米/天)的14天期间,绝对嗜酸性粒细胞计数从0增加到9455/微升。相比之下,绝对中性粒细胞计数下降。与rhGM-CSF相关的毒性包括关节痛和非特异性胸痛。讨论了rhGM-CSF诱导选择性嗜酸性粒细胞增多的可能机制。

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引用本文的文献

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Recombinant Granulocyte-Macrophage Colony-Stimulating Factor (rGM-CSF) : A Review of its Pharmacological Properties and Prospective Role in the Management of Myelosuppression.重组粒细胞-巨噬细胞集落刺激因子(rGM-CSF):其药理特性及在骨髓抑制管理中的潜在作用综述
Drugs. 1992 Apr;43(4):516-560. doi: 10.2165/00003495-199243040-00008.
2
Clinical toxicity of cytokines used as haemopoietic growth factors.用作造血生长因子的细胞因子的临床毒性。
Drug Saf. 1995 Dec;13(6):371-406. doi: 10.2165/00002018-199513060-00006.
3
Leukocytoclastic vasculitis complicating granulocyte colony-stimulating factor (G-CSF) induced neutrophil recovery in T gamma-lymphocytosis with severe neutropenia.
白细胞破碎性血管炎并发粒细胞集落刺激因子(G-CSF)诱导的Tγ淋巴细胞增多伴严重中性粒细胞减少患者中性粒细胞恢复。
Ann Hematol. 1992 Sep;65(3):151-2. doi: 10.1007/BF01695817.