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Serum sickness-like syndrome after immunoglobulin M-enriched polyclonal immunoglobulin

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Published/Copyright: November 22, 2010
Drug Metabolism and Personalized Therapy
From the journal Volume 25 Issue 1-4

Abstract

Medication reactions, infectious etiologies, graft vs. host disease, serum sickness, and serum sickness-like reaction are the most common conditions that cause skin fever and rashes in immunosuppressed patients. In addition to this long list of diseases, severity of the primary disease and deterioration in the patient’s health status can make the diagnosis difficult. Furthermore, cutaneous and histological similarities in these mentioned conditions can be confounding. Here, we present a 16-year-old male patient with acute myeloid leukemia suffering from skin rashes and fever that appeared following a chemotherapy course leading to bone marrow suppression. We aim to discuss the differential diagnosis and share the diagnostic challenges that we already have experienced after immunoglobulin M-enriched polyclonal immunoglobulin.


Corresponding author: Fatih Mehmet Azik, Department of Pediatric Hematology, Ankara Children’s Hematology Oncology Hospital, Diskapı, 06110 Ankara, Turkey Phone: +90-312-3172669, Fax: +90-312-3187363

Published Online: 2010-11-22
Published in Print: 2010-12-01

©2010 by Walter de Gruyter Berlin New York

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