Neutrophilic dermatoses in two children with idiopathic neutropenia: association with granulocyte colony-stimulating factor (G-CSF) therapy

Pediatr Dermatol. 2001 Sep-Oct;18(5):417-21. doi: 10.1046/j.1525-1470.2001.01969.x.

Abstract

Painful neutrophilic skin lesions were observed in two children receiving granulocyte colony-stimulating factor (G-CSF) for treatment of idiopathic neutropenia. A girl with cystic fibrosis and cyclic neutropenia developed an erythematous papular eruption without fever or neutrophilia 7 months after commencing therapy with G-CSF. A skin biopsy specimen revealed microscopic, sterile, neutrophilic abscesses. A boy with chronic neutropenia and recurrent inflammatory skin lesions developed multiple erythematous nodules following administration of G-CSF. A biopsy specimen showed neutrophilic panniculitis. We believe that these skin eruptions belong to a spectrum of neutrophilic dermatoses that can be induced or aggravated by G-CSF therapy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Drug Eruptions / pathology*
  • Female
  • Granulocyte Colony-Stimulating Factor / adverse effects*
  • Granulocyte Colony-Stimulating Factor / therapeutic use
  • Humans
  • Male
  • Neutropenia / drug therapy*
  • Neutrophils / pathology
  • Panniculitis / chemically induced*
  • Panniculitis / pathology

Substances

  • Granulocyte Colony-Stimulating Factor