Article
[Bone marrow depression after azathioprine. New discoveries on an old drug].
Lakartidningen - 2 Feb 2000
Löwhagen G B, Lindstedt G
Abstract excerpt
Azathioprine, a cytostatic and immunosuppressive drug in use for some 30 years, can give rise to life-threatening neutropenia and thrombocytopenia. This may be caused by unexpectedly high concentrations of cytotoxic metabolites due to abnormally slow inactivation of 6-mercaptopurine (6-MP) by thiopurine S-methyltransferase (TPMT) and/or xanthine oxidase. Low TPMT activity may be due to genetic polymorphism or...
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