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Lenalidomide-induced arthritis: A case report and review of literature and pharmacovigilance databases.
Icard, Charlotte; Mocquot, Pauline; Nogaro, Jean-Claude; Despas, Fabien; Gauthier, Martin.
Afiliación
  • Icard C; Department of Medical and Clinic Pharmacology, 36760CHU de Toulouse, France.
  • Mocquot P; Department of Medical and Clinic Pharmacology, 36760CHU de Toulouse, France.
  • Nogaro JC; Department of Hematology, 54909Institut Universitaire du Cancer-Oncopole, France.
  • Despas F; Department of Medical and Clinic Pharmacology, 36760CHU de Toulouse, France.
  • Gauthier M; UMR1027, Inserm, 173638Université Paul Sabatier, France.
J Oncol Pharm Pract ; 28(2): 453-456, 2022 Mar.
Article en En | MEDLINE | ID: mdl-34590522
INTRODUCTION: Lenalidomide is an immunomodulatory agent with multiple mechanisms of action, and treatment with lenalidomide is associated with adverse events such as thrombosis and abdominal pain; nonetheless, other rarer adverse events do exist, with few knowledge from physicians and pharmacists. For such adverse events, pharmacovigilance databases are of great interest. CASE REPORT: A 71-year-old patient with no rheumatologic history, in complete remission of a mantle-cell lymphoma following rituximab, doxorubicin, vincristine, cyclophosphamide, and prednisone induction, received a maintenance treatment with rituximab and lenalidomide. After each course of lenalidomide and with no other new medication, the patient presented with fever and high inflammatory markers level, and a scapular-belt arthritis. MANAGEMENT AND OUTCOME: The patient was managed with non-steroidal anti-inflammatory drugs and colchicine, with symptomatology and inflammation improvement. After discontinuation of lenalidomide, he had no arthritis relapse; it was then concluded that the patient had a lenalidomide-induced arthritis. We interrogated the national and international (VigiBase®) pharmacovigilance databases and found that arthritis in the context of lenalidomide exposure is a rare finding, with only three reported cases in France; 0.13% of adverse events reported with lenalidomide in the international database VigiBase® were arthritis. DISCUSSION: Our case then reports an uncommon finding, of which both pharmacists and physicians should be aware due to the wide and increasing use of lenalidomide.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis / Farmacovigilancia Límite: Adult / Aged / Humans / Male Idioma: En Revista: J Oncol Pharm Pract Asunto de la revista: FARMACIA Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis / Farmacovigilancia Límite: Adult / Aged / Humans / Male Idioma: En Revista: J Oncol Pharm Pract Asunto de la revista: FARMACIA Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido