Azathioprine‐induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with NUDT15 minor variant: A case report

Abstract This report highlights azathioprine‐induced severe myelosuppression in the patient with NUDT15 minor variant. This case report is particularly instructive because several typical symptoms are the clues to this critical adverse drug reaction.

Bibliographic Details
Main Authors: Yu Takeuchi, Hidenao Noritake, Moe Matsumoto, Masahiro Umemura, Maho Yamashita, Kensuke Kitsugi, Shingo Takatori, Kazuyoshi Ohta, Jun Ito, Shin Shimoyama, Akira Kaysuya, Chiaki Maruyama, Kensuke Fukuchi, Satoshi Dohtan, Hiroe Sakata, Kazuhito Kawata
Format: Article
Language:English
Published: Wiley 2021-08-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.4696
_version_ 1828744401740890112
author Yu Takeuchi
Hidenao Noritake
Moe Matsumoto
Masahiro Umemura
Maho Yamashita
Kensuke Kitsugi
Shingo Takatori
Kazuyoshi Ohta
Jun Ito
Shin Shimoyama
Akira Kaysuya
Chiaki Maruyama
Kensuke Fukuchi
Satoshi Dohtan
Hiroe Sakata
Kazuhito Kawata
author_facet Yu Takeuchi
Hidenao Noritake
Moe Matsumoto
Masahiro Umemura
Maho Yamashita
Kensuke Kitsugi
Shingo Takatori
Kazuyoshi Ohta
Jun Ito
Shin Shimoyama
Akira Kaysuya
Chiaki Maruyama
Kensuke Fukuchi
Satoshi Dohtan
Hiroe Sakata
Kazuhito Kawata
author_sort Yu Takeuchi
collection DOAJ
description Abstract This report highlights azathioprine‐induced severe myelosuppression in the patient with NUDT15 minor variant. This case report is particularly instructive because several typical symptoms are the clues to this critical adverse drug reaction.
first_indexed 2024-04-13T01:56:12Z
format Article
id doaj.art-78d6b69584004b4793859f246f587ab3
institution Directory Open Access Journal
issn 2050-0904
language English
last_indexed 2024-04-13T01:56:12Z
publishDate 2021-08-01
publisher Wiley
record_format Article
series Clinical Case Reports
spelling doaj.art-78d6b69584004b4793859f246f587ab32022-12-22T03:07:45ZengWileyClinical Case Reports2050-09042021-08-0198n/an/a10.1002/ccr3.4696Azathioprine‐induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with NUDT15 minor variant: A case reportYu Takeuchi0Hidenao Noritake1Moe Matsumoto2Masahiro Umemura3Maho Yamashita4Kensuke Kitsugi5Shingo Takatori6Kazuyoshi Ohta7Jun Ito8Shin Shimoyama9Akira Kaysuya10Chiaki Maruyama11Kensuke Fukuchi12Satoshi Dohtan13Hiroe Sakata14Kazuhito Kawata15Division of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Dermatology Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Dermatology Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Dermatology Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Hematology Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Dentistry and Oral and Maxillofacial Surgery Hamamatsu University School of Medicine Hamamatsu JapanDivision of Hepatology Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu JapanAbstract This report highlights azathioprine‐induced severe myelosuppression in the patient with NUDT15 minor variant. This case report is particularly instructive because several typical symptoms are the clues to this critical adverse drug reaction.https://doi.org/10.1002/ccr3.4696agranulocytosisallopurinolalopeciastomatitisthiopurine
spellingShingle Yu Takeuchi
Hidenao Noritake
Moe Matsumoto
Masahiro Umemura
Maho Yamashita
Kensuke Kitsugi
Shingo Takatori
Kazuyoshi Ohta
Jun Ito
Shin Shimoyama
Akira Kaysuya
Chiaki Maruyama
Kensuke Fukuchi
Satoshi Dohtan
Hiroe Sakata
Kazuhito Kawata
Azathioprine‐induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with NUDT15 minor variant: A case report
Clinical Case Reports
agranulocytosis
allopurinol
alopecia
stomatitis
thiopurine
title Azathioprine‐induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with NUDT15 minor variant: A case report
title_full Azathioprine‐induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with NUDT15 minor variant: A case report
title_fullStr Azathioprine‐induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with NUDT15 minor variant: A case report
title_full_unstemmed Azathioprine‐induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with NUDT15 minor variant: A case report
title_short Azathioprine‐induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with NUDT15 minor variant: A case report
title_sort azathioprine induced severe myelosuppression accompanied by massive hair loss and painful oral ulcer in an autoimmune hepatitis patient with nudt15 minor variant a case report
topic agranulocytosis
allopurinol
alopecia
stomatitis
thiopurine
url https://doi.org/10.1002/ccr3.4696
work_keys_str_mv AT yutakeuchi azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT hidenaonoritake azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT moematsumoto azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT masahiroumemura azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT mahoyamashita azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT kensukekitsugi azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT shingotakatori azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT kazuyoshiohta azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT junito azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT shinshimoyama azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT akirakaysuya azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT chiakimaruyama azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT kensukefukuchi azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT satoshidohtan azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT hiroesakata azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport
AT kazuhitokawata azathioprineinducedseveremyelosuppressionaccompaniedbymassivehairlossandpainfuloralulcerinanautoimmunehepatitispatientwithnudt15minorvariantacasereport