Chronic myeloid leukemia with chylothorax due to dasatinib: a case report
Yuki Miyasaka* Atsushi Saito Kento Yasuda Masayuki Sasahara Mamoru Takahashi Hirofumi Chiba
Department of Respiratory Medicine and Allergology, Sapporo Medical University School of Medicine
*Present address: Department of Respiratory Medicine, Tonan Hospital
Dasatinib is a second-generation oral tyrosine kinase inhibitor that is frequently used for BCR-ABL-positive chronic myeloid leukemia (CML) and for Philadelphia chromosome-positive acute lymphocytic leukemia. We experienced a rare case of a 62-year-old man who developed chylothorax following 3 years of dasatinib treatment. On reducing the dose of dasatinib from 100 mg/day to 50 mg/day, the pleural effusion stopped and the course of CML became stable. Pleural effusion is a common adverse event from dasatinib, but there are still few reports of chylothorax. This case shows that dasatinib-related chylothorax improved with dose reduction.
Dasatinib Chylothorax Chronic myeloid leukemia (CML)
Received 3 Sep 2021 / Accepted 3 Mar 2022
AJRS, 11(3): 156-160, 2022