Oxaliplatin-Induced Evans Syndrome: A Possible Dual Mechanism

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TitreOxaliplatin-Induced Evans Syndrome: A Possible Dual Mechanism
Type de publicationJournal Article
Year of Publication2020
AuteursRousseau C, Nguyen TNgoc, Rebibou JMichel, Bastie JNoel, Audia S, Darut-Jouve A, Legendre M
JournalCLINICAL COLORECTAL CANCER
Volume19
Pagination57-60
Date PublishedMAR
Type of ArticleEditorial Material
ISSN1533-0028
Mots-clésAcute kidney injury, Drug dependent antibody, Hemolysis, Nonimmunologic protein adsorption (NIPA), Plasma exchange
Résumé

Clinical Practice Points Oxaliplatin is recommended for the treatment of stage II and III colorectal cancer. Most reported adverse effects for oxaliplatin are mild and include paresthesia (2%-12%), diarrhea (11.5%-19%), and vomiting (4.1%-6%). Severe anemia, thrombocytopenia, or Evans syndrome are rarely reported adverse effects for oxaliplatin. To our knowledge, this is the first reported case of Evans syndrome complicated by severe acute tubular necrosis associated with oxaliplatin-induced antibodies and probable nonimmunologic protein adsorption detected with the immune complex method. (C) 2019 Elsevier Inc. All rights reserved.

DOI10.1016/j.clcc.2019.11.001