Focosi D, Kast RE, Benedetti E, Papineschi F, Galimberti S, Petrini M. Phenobarbital-associated bone marrow aplasia: a case report and review of the literature.
Acta Haematol 2008;
119:18-21. [PMID:
18230962 DOI:
10.1159/000114096]
[Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2007] [Accepted: 11/06/2007] [Indexed: 11/19/2022]
Abstract
We report on a 22-year-old female who developed aplastic anemia after administration of phenobarbital for 6 years. Being refractory to steroid and anti-lymphocyte serum, the patient received allogeneic stem cell transplantation, achieving complete remission. We discuss here the potential mechanisms by which phenobarbital and other anti-epileptic drugs can cause aplastic anemia and review the literature for previous case reports and epidemiological studies.
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