ATRA induced Reactive Hemophagocytosis: A Case Report
Author(s) -
Monica Sharma,
Sanjeev K. Sharma,
Jasmita Dass,
Seema Tyagi
Publication year - 2011
Publication title -
mediterranean journal of hematology and infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 31
ISSN - 2035-3006
DOI - 10.4084/mjhid.2011.034
Subject(s) - hemophagocytosis , histiocyte , medicine , acute promyelocytic leukemia , phagocytosis , retinoic acid , tretinoin , promyelocyte , leukemia , immunology , cancer research , histiocytosis , bone marrow , pathology , biology , disease , cell culture , pancytopenia , genetics
All trans-retinoic acid (ATRA) is a targeted therapy, used in Acute Promyelcytic leukemia (APL) and causes the abnormal promyelocytes to differentiate in to mature leucocytes, however their clearance in vivo is not known. ATRA has been found to be associated with hemophagocytosis, but sometimes one may find phagocytosis of differentiated cells by histiocytes without the overt manifestations of hemophagocytic syndrome. We report a case of APL showing differentiated cells being phagocytosed by marrow histiocytes while patient was getting ATRA therapy.
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