Erythema multiforme secondary to filgrastim in a case of pemphigus vulgaris

Erythema multiforme (EM) is an acute inflammatory mucocutaneous disorder which can be triggered by host of factors including drugs. Filgrastim is a Granulocyte Colony-Stimulating Factor (G-CSF) analogue used to stimulate the production of white blood cells in patients on immunosuppressants developin...

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Main Authors: Prachi Bhandare, Akshay Vishwanath Kadkol, M. Yashaswini, Pankaj Shukla
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Muller Journal of Medical Sciences and Research
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Online Access:https://journals.lww.com/10.4103/mjmsr.mjmsr_31_24
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author Prachi Bhandare
Akshay Vishwanath Kadkol
M. Yashaswini
Pankaj Shukla
author_facet Prachi Bhandare
Akshay Vishwanath Kadkol
M. Yashaswini
Pankaj Shukla
author_sort Prachi Bhandare
collection DOAJ
description Erythema multiforme (EM) is an acute inflammatory mucocutaneous disorder which can be triggered by host of factors including drugs. Filgrastim is a Granulocyte Colony-Stimulating Factor (G-CSF) analogue used to stimulate the production of white blood cells in patients on immunosuppressants developing neutropenia. EM following filgrastim usage is uncommonly reported in literature. The exact mechanism behind this reaction is not fully understood, but it is thought to be an immune-mediated response. Herein, we report this case of a 62-year-old male patient of active Pemphigus Vulgaris who developed EM following 2 doses of Filgrastim, which resolved after its discontinuation.
format Article
id doaj-art-1aad42766e284bb093ebcfe32b3ee541
institution DOAJ
issn 0975-9727
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language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Muller Journal of Medical Sciences and Research
spelling doaj-art-1aad42766e284bb093ebcfe32b3ee5412025-08-20T02:43:32ZengWolters Kluwer Medknow PublicationsMuller Journal of Medical Sciences and Research0975-97272321-37012025-01-01161666810.4103/mjmsr.mjmsr_31_24Erythema multiforme secondary to filgrastim in a case of pemphigus vulgarisPrachi BhandareAkshay Vishwanath KadkolM. YashaswiniPankaj ShuklaErythema multiforme (EM) is an acute inflammatory mucocutaneous disorder which can be triggered by host of factors including drugs. Filgrastim is a Granulocyte Colony-Stimulating Factor (G-CSF) analogue used to stimulate the production of white blood cells in patients on immunosuppressants developing neutropenia. EM following filgrastim usage is uncommonly reported in literature. The exact mechanism behind this reaction is not fully understood, but it is thought to be an immune-mediated response. Herein, we report this case of a 62-year-old male patient of active Pemphigus Vulgaris who developed EM following 2 doses of Filgrastim, which resolved after its discontinuation.https://journals.lww.com/10.4103/mjmsr.mjmsr_31_24erythema multiformefilgrastimneutropeniapemphigus vulgarisrituximab
spellingShingle Prachi Bhandare
Akshay Vishwanath Kadkol
M. Yashaswini
Pankaj Shukla
Erythema multiforme secondary to filgrastim in a case of pemphigus vulgaris
Muller Journal of Medical Sciences and Research
erythema multiforme
filgrastim
neutropenia
pemphigus vulgaris
rituximab
title Erythema multiforme secondary to filgrastim in a case of pemphigus vulgaris
title_full Erythema multiforme secondary to filgrastim in a case of pemphigus vulgaris
title_fullStr Erythema multiforme secondary to filgrastim in a case of pemphigus vulgaris
title_full_unstemmed Erythema multiforme secondary to filgrastim in a case of pemphigus vulgaris
title_short Erythema multiforme secondary to filgrastim in a case of pemphigus vulgaris
title_sort erythema multiforme secondary to filgrastim in a case of pemphigus vulgaris
topic erythema multiforme
filgrastim
neutropenia
pemphigus vulgaris
rituximab
url https://journals.lww.com/10.4103/mjmsr.mjmsr_31_24
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AT akshayvishwanathkadkol erythemamultiformesecondarytofilgrastiminacaseofpemphigusvulgaris
AT myashaswini erythemamultiformesecondarytofilgrastiminacaseofpemphigusvulgaris
AT pankajshukla erythemamultiformesecondarytofilgrastiminacaseofpemphigusvulgaris