PMID- 27477415 OWN - NLM STAT- MEDLINE DCOM- 20170322 LR - 20181202 IS - 1349-7235 (Electronic) IS - 0918-2918 (Linking) VI - 55 IP - 15 DP - 2016 TI - Rituximab-induced Acute Thrombocytopenia in High Tumor Burden Follicular Lymphoma. PG - 2061-4 LID - 10.2169/internalmedicine.55.6140 [doi] AB - Rituximab-induced acute thrombocytopenia (RIAT), a rare complication of rituximab administration, has not yet been described in follicular lymphoma (FL). A 65-year-old man received rituximab for the treatment of high tumor burden follicular lymphoma in the leukemic phase. The next day, his platelet count abruptly dropped from 85,000 to 5,000/muL, which spontaneously recovered in a few days without specific treatment. We speculate that the occurrence of infusion-related cytokine release syndrome in rituximab-sensitive high tumor burden FL contributed to the development of RIAT. Frequent monitoring of the platelet count is advisable for select patients considered to be at a high risk for RIAT. FAU - Ureshino, Hiroshi AU - Ureshino H AD - Division of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Japan. FAU - Nishioka, Atsujiro AU - Nishioka A FAU - Kojima, Kensuke AU - Kojima K FAU - Suzuki, Motoaki AU - Suzuki M FAU - Kizuka, Haruna AU - Kizuka H FAU - Sano, Haruhiko AU - Sano H FAU - Shindo, Takero AU - Shindo T FAU - Kubota, Yasushi AU - Kubota Y FAU - Ando, Toshihiko AU - Ando T FAU - Kimura, Shinya AU - Kimura S LA - eng PT - Case Reports PT - Journal Article DEP - 20160801 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Antineoplastic Agents) RN - 4F4X42SYQ6 (Rituximab) SB - IM MH - Acute Disease MH - Aged MH - Antineoplastic Agents/administration & dosage/*adverse effects MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Humans MH - Lymphoma, Follicular/drug therapy MH - Male MH - Platelet Count MH - Rituximab/administration & dosage/*adverse effects MH - Thrombocytopenia/*chemically induced/diagnosis/therapy MH - Treatment Outcome MH - *Tumor Burden EDAT- 2016/08/02 06:00 MHDA- 2017/03/23 06:00 CRDT- 2016/08/02 06:00 PHST- 2016/08/02 06:00 [entrez] PHST- 2016/08/02 06:00 [pubmed] PHST- 2017/03/23 06:00 [medline] AID - 10.2169/internalmedicine.55.6140 [doi] PST - ppublish SO - Intern Med. 2016;55(15):2061-4. doi: 10.2169/internalmedicine.55.6140. Epub 2016 Aug 1.