Acta Haematologica
Case Report
Necrotizing Hemorrhagic Gastritis following Acute Myeloid Leukemia Induction with Midostaurin: An Unexpected ComplicationShimony S.a,b · Reiss Mintz H.c · Shvartser Beryozkin Y.d · Shoham A.e · Raanani P.a,b · Wolach O.a,baInstitute of Hematology, Davidoff Cancer Center, Rabin Medical Center – Beilinson Hospital, Petach Tikva, Israel
bSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel cDivision of Gastroenterology, Rabin Medical Center – Beilinson Hospital, Petach Tikva, Israel dDivision of Pathology, Rabin Medical Center – Beilinson Hospital, Petach Tikva, Israel eRadiology Department, Rabin Medical Center – Beilinson Hospital, Petach Tikva, Israel |
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Article / Publication Details
Received: February 20, 2019
Accepted: May 14, 2019
Published online: July 10, 2019
Issue release date: January 2020
Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 0
ISSN: 0001-5792 (Print)
eISSN: 1421-9662 (Online)
For additional information: https://www.karger.com/AHA
Abstract
Midostaurin is a tyrosine multikinase inhibitor approved for the treatment of patients with newly diagnosed acute myeloid leukemia (AML) with mutated Fms-like tyrosine kinase-3. We describe a case report of a 49-year-old AML patient treated with an intensive chemotherapy regimen followed by midostaurin. After achieving complete remission with blood count recovery, he suffered from a serious, rare complication of necrotizing hemorrhagic gastritis with no evidence of infection or malignant infiltration, possibly associated with midostaurin therapy.
© 2019 S. Karger AG, Basel
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References
- Stone RM, Mandrekar SJ, Sanford BL, Laumann K, Geyer S, Bloomfield CD, et al. Midostaurin plus Chemotherapy for Acute Myeloid Leukemia with a FLT3 Mutation [Internet]. N Engl J Med. 2017 Aug;377(5):454–64. Available from: http://www.nejm.org/doi/10.1056/NEJMoa1614359.
- Silen W. The clinical problem of stress ulcers [Internet]. Clin Invest Med. 1987 May;10(3):270–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2887324.
- Marrone GC, Silen W. Pathogenesis, diagnosis and treatment of acute gastric mucosal lesions [Internet]. Clin Gastroenterol. 1984 May;13(2):635–50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/6430609.
- Pielaciński K, Lech-Marańda E, Warzocha K, Dedecjus M, Prochorec-Sobieszek M, Szczepanik AB. [Necrotizing gastritis in a patient in severe neutropenia]. Pol Merkur Lekarski [Internet]. 2014 Dec;37(222):344–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25715575.
- Takeuchi M, Uno H, Matsuoka H, Maeda K, Marutsuka K, Sumiyoshi A, et al. [Acute necrotizing gastritis associated with adult T-cell leukemia in the course of chemotherapy]. Gan To Kagaku Ryoho. 1995 Feb;22(2):289–92. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7857107.
-
FDA midosaturin label and safety data. 2017. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/207997s000lbl.pdf%0D.
- Fernandez HF, Sun Z, Yao X, Litzow MR, Luger SM, Paietta EM, et al. Anthracycline dose intensification in acute myeloid leukemia [Internet]. N Engl J Med. 2009 Sep;361(13):1249–59. Available from: http://www.nejm.org/doi/abs/10.1056/NEJMoa0904544.
- Burnett AK, Russell NH, Hills RK, Kell J, Cavenagh J, Kjeldsen L, et al.; UK NCRI AML Study Group. A randomized comparison of daunorubicin 90 mg/m2 vs 60 mg/m2 in AML induction: results from the UK NCRI AML17 trial in 1206 patients. Blood. 2015 Jun;125(25):3878–85.
- Burnett AK, Russell NH, Hills RK; United Kingdom National Cancer Research Institute Acute Myeloid Leukemia Study Group. Higher daunorubicin exposure benefits FLT3 mutated acute myeloid leukemia [Internet]. Blood. 2016 Jul;128(3):449–52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27268085.
- King AJ, Eyre T, Rangarajan D, Sampson R, Grech H. Acute isolated transmural neutropenic gastritis. J Clin Oncol. 2012 Jan;30(1):e1–2.
Article / Publication Details
Received: February 20, 2019
Accepted: May 14, 2019
Published online: July 10, 2019
Issue release date: January 2020
Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 0
ISSN: 0001-5792 (Print)
eISSN: 1421-9662 (Online)
For additional information: https://www.karger.com/AHA
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