Drug-induced immune thrombocytopenia

Hematol Oncol Clin North Am. 2013 Jun;27(3):521-40. doi: 10.1016/j.hoc.2013.02.003. Epub 2013 Apr 9.

Abstract

Thrombocytopenia is caused by immune reactions elicited by diverse drugs in clinical practice. The activity of the drug-dependent antibodies produces a marked decrease in blood platelets and a risk of serious bleeding. Understanding of the cellular mechanisms that drive drug-induced thrombocytopenia has advanced recently but there is still a need for improved laboratory tests and treatment options. This article provides an overview of the different types of drug-induced thrombocytopenia, discusses potential pathologic mechanisms, and considers diagnostic methods and treatment options.

Publication types

  • Review

MeSH terms

  • Abciximab
  • Antibodies / immunology
  • Antibodies, Monoclonal / adverse effects
  • Antibody-Dependent Cell Cytotoxicity / immunology
  • Haptens / adverse effects
  • Haptens / immunology
  • Humans
  • Immunoglobulin Fab Fragments / adverse effects
  • Incidence
  • Platelet Membrane Glycoproteins / immunology
  • Quinine / adverse effects
  • Quinine / immunology
  • Thrombocytopenia / chemically induced*
  • Thrombocytopenia / classification
  • Thrombocytopenia / diagnosis
  • Thrombocytopenia / immunology*

Substances

  • Antibodies
  • Antibodies, Monoclonal
  • Haptens
  • Immunoglobulin Fab Fragments
  • Platelet Membrane Glycoproteins
  • Quinine
  • Abciximab