Cataract associated with high-dose hematopoietic colony stimulating factor, case report and literature review

Saudi Pharm J. 2010 Apr;18(2):107-10. doi: 10.1016/j.jsps.2010.02.008. Epub 2010 Feb 14.

Abstract

Granulocyte-colony stimulating factor (G-CSF) is a lineage-restricted hematopoietic growth factor. It induces proliferation and maturation of neutrophilic precursors and progenitors and activates neutrophil functions. It is used to ameliorate or prevent profound neutropenia and its consequences. G-CSF therapy in neutropenic disorders increases neutrophil count and improves infectious complications. However, it is not without side effects. Here, we discuss the case of a 2 years old patient with Kostmann's disease who developed cataracts following high-dose G-CSF therapy. We also review the relevant literature on G-CSF-related complications.

Keywords: Cataract; Congenital neutropenia; G-CSF; Kostmann’s disease; Side effects of G-CSF therapy.