Allopurinol-induced Agranulocytosis: A Case Report and Review

Allopurinol, utilized in the treatment of gouty arthritis and hyperuricemia, is one of the most prescribed medications in general medical practice. Although well-tolerated, allopurinol can cause rare and severe adverse reactions, including bone marrow toxicity. A 68-year-old man presented to the hos...

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Main Authors: Aswanth Reddy, Arjun Sekar, Nkolika Nwankwo, Aswini Kumar
Format: Article
Language:English
Published: Department of Medicine, Warren Alpert Medical School at Brown University 2022-11-01
Series:Brown Journal of Hospital Medicine
Online Access:https://bhm.scholasticahq.com/article/39749-allopurinol-induced-agranulocytosis-a-case-report-and-review
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author Aswanth Reddy
Arjun Sekar
Nkolika Nwankwo
Aswini Kumar
author_facet Aswanth Reddy
Arjun Sekar
Nkolika Nwankwo
Aswini Kumar
author_sort Aswanth Reddy
collection DOAJ
description Allopurinol, utilized in the treatment of gouty arthritis and hyperuricemia, is one of the most prescribed medications in general medical practice. Although well-tolerated, allopurinol can cause rare and severe adverse reactions, including bone marrow toxicity. A 68-year-old man presented to the hospital with severe neutropenia and aseptic meningitis. After an extensive workup, allopurinol was determined to be the culprit medication causing severe agranulocytosis, and his blood counts recovered upon discontinuing the drug. Drug-induced agranulocytosis is a rare but serious adverse reaction. Treatment includes supportive care and discontinuation of the offending agent.
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spelling doaj.art-9e0d4f10f64e4cf1a30a6b1f955a825a2022-12-22T03:46:37ZengDepartment of Medicine, Warren Alpert Medical School at Brown UniversityBrown Journal of Hospital Medicine2831-55532022-11-0114Allopurinol-induced Agranulocytosis: A Case Report and ReviewAswanth ReddyArjun SekarNkolika NwankwoAswini KumarAllopurinol, utilized in the treatment of gouty arthritis and hyperuricemia, is one of the most prescribed medications in general medical practice. Although well-tolerated, allopurinol can cause rare and severe adverse reactions, including bone marrow toxicity. A 68-year-old man presented to the hospital with severe neutropenia and aseptic meningitis. After an extensive workup, allopurinol was determined to be the culprit medication causing severe agranulocytosis, and his blood counts recovered upon discontinuing the drug. Drug-induced agranulocytosis is a rare but serious adverse reaction. Treatment includes supportive care and discontinuation of the offending agent.https://bhm.scholasticahq.com/article/39749-allopurinol-induced-agranulocytosis-a-case-report-and-review
spellingShingle Aswanth Reddy
Arjun Sekar
Nkolika Nwankwo
Aswini Kumar
Allopurinol-induced Agranulocytosis: A Case Report and Review
Brown Journal of Hospital Medicine
title Allopurinol-induced Agranulocytosis: A Case Report and Review
title_full Allopurinol-induced Agranulocytosis: A Case Report and Review
title_fullStr Allopurinol-induced Agranulocytosis: A Case Report and Review
title_full_unstemmed Allopurinol-induced Agranulocytosis: A Case Report and Review
title_short Allopurinol-induced Agranulocytosis: A Case Report and Review
title_sort allopurinol induced agranulocytosis a case report and review
url https://bhm.scholasticahq.com/article/39749-allopurinol-induced-agranulocytosis-a-case-report-and-review
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AT nkolikanwankwo allopurinolinducedagranulocytosisacasereportandreview
AT aswinikumar allopurinolinducedagranulocytosisacasereportandreview