An Episode of Pseudothrombocytopenia during Pembrolizumab Therapy in NSCLC Patient

Immunotherapy with immune checkpoint inhibitors (ICI) is a new option of treatment in a growing range of neoplasms. In addition to an antitumor effect, ICI are associated with autoimmune reactions resulting in a wide spectrum of toxicities that have not been seen in patients receiving chemotherapy....

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Main Authors: Kinga Krukowska, Robert Kieszko, Katarzyna Kurek, Izabela Chmielewska, Paweł Krawczyk, Janusz Milanowski
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2020/4196178
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author Kinga Krukowska
Robert Kieszko
Katarzyna Kurek
Izabela Chmielewska
Paweł Krawczyk
Janusz Milanowski
author_facet Kinga Krukowska
Robert Kieszko
Katarzyna Kurek
Izabela Chmielewska
Paweł Krawczyk
Janusz Milanowski
author_sort Kinga Krukowska
collection DOAJ
description Immunotherapy with immune checkpoint inhibitors (ICI) is a new option of treatment in a growing range of neoplasms. In addition to an antitumor effect, ICI are associated with autoimmune reactions resulting in a wide spectrum of toxicities that have not been seen in patients receiving chemotherapy. In this article, we present a case of a patient with advanced lung adenocarcinoma who developed an EDTA-dependent pseudothrombocytopenia (PTCP) during pembrolizumab therapy. To the best of our knowledge, this is the first reported case of EDTA-dependent PTCP occurring during immunotherapy treatment of nonsmall lung cell cancer with ICI. The phenomenon of EDTA-dependent PTCP may prompt clinical decisions, as unnecessary transfusions or even exclusion from pembrolizumab therapy. Therefore, it is important to be aware of PTCP as a possible side effect of this therapy.
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institution Kabale University
issn 2090-6706
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language English
publishDate 2020-01-01
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series Case Reports in Oncological Medicine
spelling doaj-art-e1eca237ffaf4592b2a1cea3296653a82025-02-03T01:27:04ZengWileyCase Reports in Oncological Medicine2090-67062090-67142020-01-01202010.1155/2020/41961784196178An Episode of Pseudothrombocytopenia during Pembrolizumab Therapy in NSCLC PatientKinga Krukowska0Robert Kieszko1Katarzyna Kurek2Izabela Chmielewska3Paweł Krawczyk4Janusz Milanowski5Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, PolandImmunotherapy with immune checkpoint inhibitors (ICI) is a new option of treatment in a growing range of neoplasms. In addition to an antitumor effect, ICI are associated with autoimmune reactions resulting in a wide spectrum of toxicities that have not been seen in patients receiving chemotherapy. In this article, we present a case of a patient with advanced lung adenocarcinoma who developed an EDTA-dependent pseudothrombocytopenia (PTCP) during pembrolizumab therapy. To the best of our knowledge, this is the first reported case of EDTA-dependent PTCP occurring during immunotherapy treatment of nonsmall lung cell cancer with ICI. The phenomenon of EDTA-dependent PTCP may prompt clinical decisions, as unnecessary transfusions or even exclusion from pembrolizumab therapy. Therefore, it is important to be aware of PTCP as a possible side effect of this therapy.http://dx.doi.org/10.1155/2020/4196178
spellingShingle Kinga Krukowska
Robert Kieszko
Katarzyna Kurek
Izabela Chmielewska
Paweł Krawczyk
Janusz Milanowski
An Episode of Pseudothrombocytopenia during Pembrolizumab Therapy in NSCLC Patient
Case Reports in Oncological Medicine
title An Episode of Pseudothrombocytopenia during Pembrolizumab Therapy in NSCLC Patient
title_full An Episode of Pseudothrombocytopenia during Pembrolizumab Therapy in NSCLC Patient
title_fullStr An Episode of Pseudothrombocytopenia during Pembrolizumab Therapy in NSCLC Patient
title_full_unstemmed An Episode of Pseudothrombocytopenia during Pembrolizumab Therapy in NSCLC Patient
title_short An Episode of Pseudothrombocytopenia during Pembrolizumab Therapy in NSCLC Patient
title_sort episode of pseudothrombocytopenia during pembrolizumab therapy in nsclc patient
url http://dx.doi.org/10.1155/2020/4196178
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