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Abstract

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Article in Japanese

Case Report

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

ABSTRACT

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.

KEYWORDS

Dasatinib  Chylothorax  Chronic myeloid leukemia (CML) 

Received 3 Sep 2021 / Accepted 3 Mar 2022

AJRS, 11(3): 156-160, 2022

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