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Eosinophilia resulting from administration of recombinant granulocyte-macrophage colony-stimulating factor (rhGM-CSF) in a patient with T-γ lymphoproliferative disease

✍ Scribed by R. Gonzales-Chambers; Dr. C. Rosenfeld; A. Winkelstein; L. Dameshek


Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
217 KB
Volume
36
Category
Article
ISSN
0361-8609

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✦ Synopsis


A therapeutic trial of recombinant human granulocyte-macrophage colony-stimulating factor (rhGM-CSF) was attempted in a patient with neutropenia and frequent infections secondary to T-y lymphoproliferative disease (T-y LPD). During the 14 days of subcutaneous rhGM-CSF (500 kg/m2/day), the absolute eosinophil count increased from 0 to 9,455/pl. By contrast, the absolute neutrophil count decreased. Toxicity related to rhGM-CSF included arthralgia and nonspecific chest pain. The possible mechanism for the rhGM-CSF induced selective eosinophilia is discussed.