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Use of Eltrombopag in Improving Poor Graft Function After Allogeneic Hematopoietic Stem Cell Transplantation

Overview
Journal Case Rep Oncol
Publisher Karger
Specialty Oncology
Date 2018 Apr 24
PMID 29681820
Citations 12
Authors
Affiliations
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Abstract

Eltrombopag is a thrombopoietin agonist and has been used in aplastic anemia and post-transplantation thrombocytopenia. The c-MPL receptor is present on hematopoietic stem cells. There are no reports of eltrombopag utilization for improving poor graft function in the post-transplant setting. Here were report a case of a young female with post-transplant poor graft function as evident from the low absolute neutrophil count, anemia, and thrombocytopenia on day 60. Eltrombopag was started on day 72 and resulted in improvement in all 3 cell lines. The counts continued to be stable even after eltrombopag was discontinued. The patient tolerated the drug without significant side effects for 1 year.

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