Abstract
We describe a patient with viral induced aplastic anemia who developed severe bone pain after treatment with multiple courses of antithymocyte globulin, cyclosporine A, recombinant human granulocyte macrophage colony stimulating factor and deferoxamine. Radiographs and bone biopsy revealed extensive new trabecular bone formation in long bone diaphyses and adjacent periosteal reaction. The effects of hematopoietic growth factors, cyclosporine A and deferoxamine on bone metabolism are reviewed.
MeSH terms
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Adolescent
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Anemia, Aplastic / diagnostic imaging
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Anemia, Aplastic / drug therapy*
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Anemia, Aplastic / pathology
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Antilymphocyte Serum / therapeutic use
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Bone and Bones / diagnostic imaging
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Bone and Bones / drug effects*
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Bone and Bones / pathology
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Cyclosporins / therapeutic use*
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Deferoxamine / therapeutic use
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Female
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Fibula / diagnostic imaging
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Fibula / drug effects
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Fibula / pathology
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Granulocyte-Macrophage Colony-Stimulating Factor / therapeutic use
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Growth Substances / therapeutic use*
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Humans
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Radiography
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Recombinant Proteins / therapeutic use
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Tibia / diagnostic imaging
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Tibia / drug effects
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Tibia / pathology
Substances
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Antilymphocyte Serum
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Cyclosporins
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Growth Substances
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Recombinant Proteins
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Granulocyte-Macrophage Colony-Stimulating Factor
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Deferoxamine