Drug-Induced Hematologic Syndromes

Objective. Drugs can induce almost the entire spectrum of hematologic disorders, affecting white cells, red cells, platelets, and the coagulation system. This paper aims to emphasize the broad range of drug-induced hematological syndromes and to highlight some of the newer drugs and syndromes. Meth...

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Main Authors: David M. Mintzer, Shira N. Billet, Lauren Chmielewski
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2009/495863
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author David M. Mintzer
Shira N. Billet
Lauren Chmielewski
author_facet David M. Mintzer
Shira N. Billet
Lauren Chmielewski
author_sort David M. Mintzer
collection DOAJ
description Objective. Drugs can induce almost the entire spectrum of hematologic disorders, affecting white cells, red cells, platelets, and the coagulation system. This paper aims to emphasize the broad range of drug-induced hematological syndromes and to highlight some of the newer drugs and syndromes. Methods. Medline literature on drug-induced hematologic syndromes was reviewed. Most reports and reviews focus on individual drugs or cytopenias. Results. Drug-induced syndromes include hemolytic anemias, methemoglobinemia, red cell aplasia, sideroblastic anemia, megaloblastic anemia, polycythemia, aplastic anemia, leukocytosis, neutropenia, eosinophilia, immune thrombocytopenia, microangiopathic syndromes, hypercoagulability, hypoprothrombinemia, circulating anticoagulants, myelodysplasia, and acute leukemia. Some of the classic drugs known to cause hematologic abnormalities have been replaced by newer drugs, including biologics, accompanied by their own syndromes and unintended side effects. Conclusions. Drugs can induce toxicities spanning many hematologic syndromes, mediated by a variety of mechanisms. Physicians need to be alert to the potential for iatrogenic drug-induced hematologic complications.
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spelling doaj-art-e4ba959878fc4a31beada32c1606b3a52025-08-20T03:26:25ZengWileyAdvances in Hematology1687-91041687-91122009-01-01200910.1155/2009/495863495863Drug-Induced Hematologic SyndromesDavid M. Mintzer0Shira N. Billet1Lauren Chmielewski2Section of Hematology and Medical Oncology, Pennsylvania Hospital, Philadelphia, PA 19106, USASection of Hematology and Medical Oncology, Pennsylvania Hospital, Philadelphia, PA 19106, USASection of Hematology and Medical Oncology, Pennsylvania Hospital, Philadelphia, PA 19106, USAObjective. Drugs can induce almost the entire spectrum of hematologic disorders, affecting white cells, red cells, platelets, and the coagulation system. This paper aims to emphasize the broad range of drug-induced hematological syndromes and to highlight some of the newer drugs and syndromes. Methods. Medline literature on drug-induced hematologic syndromes was reviewed. Most reports and reviews focus on individual drugs or cytopenias. Results. Drug-induced syndromes include hemolytic anemias, methemoglobinemia, red cell aplasia, sideroblastic anemia, megaloblastic anemia, polycythemia, aplastic anemia, leukocytosis, neutropenia, eosinophilia, immune thrombocytopenia, microangiopathic syndromes, hypercoagulability, hypoprothrombinemia, circulating anticoagulants, myelodysplasia, and acute leukemia. Some of the classic drugs known to cause hematologic abnormalities have been replaced by newer drugs, including biologics, accompanied by their own syndromes and unintended side effects. Conclusions. Drugs can induce toxicities spanning many hematologic syndromes, mediated by a variety of mechanisms. Physicians need to be alert to the potential for iatrogenic drug-induced hematologic complications.http://dx.doi.org/10.1155/2009/495863
spellingShingle David M. Mintzer
Shira N. Billet
Lauren Chmielewski
Drug-Induced Hematologic Syndromes
Advances in Hematology
title Drug-Induced Hematologic Syndromes
title_full Drug-Induced Hematologic Syndromes
title_fullStr Drug-Induced Hematologic Syndromes
title_full_unstemmed Drug-Induced Hematologic Syndromes
title_short Drug-Induced Hematologic Syndromes
title_sort drug induced hematologic syndromes
url http://dx.doi.org/10.1155/2009/495863
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