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Granulocyte Colony-stimulating Factor Associated Arteritis in a Patient with Castration-resistant Prostate Cancer

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Journal IJU Case Rep
Date 2022 Jan 10
PMID 35005466
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Abstract

Introduction: Granulocyte colony-stimulating factor-associated arteritis is a rare adverse event of granulocyte colony-stimulating factor, with an incidence of 0.47% among all patients who receive granulocyte colony-stimulating factor. We herein present a case of granulocyte colony-stimulating factor-associated arteritis.

Case Presentation: A 72-year-old man with castration-resistant prostate cancer and multiple bone metastases was treated with docetaxel and pegfilgrastim. He developed a high fever on day 12 without other symptoms. His white blood cell count and C-reactive protein levels were high. Antibiotic therapy was ineffective, and contrast-enhanced computed tomography showed thickened subclavian and brachiocephalic artery walls. He was diagnosed with granulocyte colony-stimulating factor-associated arteritis.

Conclusion: When patients receiving chemotherapy with granulocyte colony-stimulating factor develop an unexplained fever, granulocyte colony-stimulating factor associated arteritis should be considered.

Citing Articles

Literature review analysis of aortitis induced by granulocyte-colony stimulating factor.

Zhao T, Xu H Front Pharmacol. 2025; 15:1487501.

PMID: 39744136 PMC: 11688214. DOI: 10.3389/fphar.2024.1487501.


Granulocyte colony-stimulating factor associated arteritis in a patient with castration-resistant prostate cancer.

Nitta S, Tanaka T, Yanagihashi R, Nonaka H, Suzuki S, Kimura T IJU Case Rep. 2022; 5(1):29-31.

PMID: 35005466 PMC: 8720713. DOI: 10.1002/iju5.12376.

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