Foot gangrene following Tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm: Case report

Abstract Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare and aggressive hematologic malignancy. It is associated with poor prognosis and heterogenous presentation. The CD123‐directed cytotoxin, Tagraxofusp, is a targeted therapy for BPDCN. Here, we report an 81‐year‐old female diagnos...

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Main Authors: Jad Sibai, RuiQi Chen, Ibrahim Al Nabhani, Maria Agustina Perusini, Hassan Sibai
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:eJHaem
Subjects:
Online Access:https://doi.org/10.1002/jha2.541
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author Jad Sibai
RuiQi Chen
Ibrahim Al Nabhani
Maria Agustina Perusini
Hassan Sibai
author_facet Jad Sibai
RuiQi Chen
Ibrahim Al Nabhani
Maria Agustina Perusini
Hassan Sibai
author_sort Jad Sibai
collection DOAJ
description Abstract Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare and aggressive hematologic malignancy. It is associated with poor prognosis and heterogenous presentation. The CD123‐directed cytotoxin, Tagraxofusp, is a targeted therapy for BPDCN. Here, we report an 81‐year‐old female diagnosed with BPDCN. The patient was treated with Tagraxofusp and underwent a remarkably long remission (>20 months) without stem‐cell transplantation. She, however, experienced blue toe syndrome and left foot gangrene. We postulate that these previously unreported side effects were caused by microembolization. Characterization of the incidence of thrombo‐ and microembolizations in such a context, as well as prophylactic management options, are warranted.
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spelling doaj.art-3520f0a0fe10432982f2d63cd1f6731f2023-10-03T16:50:47ZengWileyeJHaem2688-61462022-11-01341374137610.1002/jha2.541Foot gangrene following Tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm: Case reportJad Sibai0RuiQi Chen1Ibrahim Al Nabhani2Maria Agustina Perusini3Hassan Sibai4Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre University Health Network Toronto CanadaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre University Health Network Toronto CanadaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre University Health Network Toronto CanadaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre University Health Network Toronto CanadaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre University Health Network Toronto CanadaAbstract Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare and aggressive hematologic malignancy. It is associated with poor prognosis and heterogenous presentation. The CD123‐directed cytotoxin, Tagraxofusp, is a targeted therapy for BPDCN. Here, we report an 81‐year‐old female diagnosed with BPDCN. The patient was treated with Tagraxofusp and underwent a remarkably long remission (>20 months) without stem‐cell transplantation. She, however, experienced blue toe syndrome and left foot gangrene. We postulate that these previously unreported side effects were caused by microembolization. Characterization of the incidence of thrombo‐ and microembolizations in such a context, as well as prophylactic management options, are warranted.https://doi.org/10.1002/jha2.541blastic plasmacytoid dendritic cell neoplasmcase reportgangreneTagraxofusp
spellingShingle Jad Sibai
RuiQi Chen
Ibrahim Al Nabhani
Maria Agustina Perusini
Hassan Sibai
Foot gangrene following Tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm: Case report
eJHaem
blastic plasmacytoid dendritic cell neoplasm
case report
gangrene
Tagraxofusp
title Foot gangrene following Tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm: Case report
title_full Foot gangrene following Tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm: Case report
title_fullStr Foot gangrene following Tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm: Case report
title_full_unstemmed Foot gangrene following Tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm: Case report
title_short Foot gangrene following Tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm: Case report
title_sort foot gangrene following tagraxofusp treatment for blastic plasmacytoid dendritic cell neoplasm case report
topic blastic plasmacytoid dendritic cell neoplasm
case report
gangrene
Tagraxofusp
url https://doi.org/10.1002/jha2.541
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