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Regorafenib‑induced exacerbation of chronic immune thrombocytopenic purpura in remission: A case report
Author(s) -
Shiro Kimbara,
Yoshinori Imamura,
Kimikazu Yakushijin,
Ako Higashime,
Taiji Koyama,
Yoshimi Fujishima,
Yohei Funakoshi,
Masanori Toyoda,
Naomi Kiyota,
Hiroshi Matsuoka,
Hironobu Minami
Publication year - 2020
Publication title -
molecular and clinical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.442
H-Index - 7
eISSN - 2049-9469
pISSN - 2049-9450
DOI - 10.3892/mco.2020.2192
Subject(s) - regorafenib , thrombocytopenic purpura , medicine , exacerbation , immune system , adverse effect , colorectal cancer , concomitant , cancer , immunology
Regorafenib is an oral multi-kinase inhibitor which targets tumor angiogenesis, the tumor microenvironment and oncogenesis. Based on this mode of action, regorafenib has a broad spectrum of toxicities. However, at present, few reports have focused on autoimmune adverse events. We report a first case of regorafenib-induced exacerbation of chronic immune thrombocytopenic purpura in remission during treatment for the patients with heavily treated advanced colorectal cancer. This case report highlights the need for caution with regard to regorafenib treatment in patients with cancer with concomitant immune thrombocytopenic purpura.

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