Related Experiment Video
Updated: Oct 3, 2026

Proliferation and Differentiation of Murine Myeloid Precursor 32D/G-CSF-R Cells
Published on: February 21, 2018
Neutrophilic dermatoses in two children with idiopathic neutropenia: association with granulocyte colony-stimulating
J Prendiville1, P Thiessen, S B Mallory
1Division of Dermatology, British Columbia's Children's Hospital and University of British Columbia, Vancouver, Canada.
Insights
Granulocyte colony-stimulating factor (G-CSF) can cause painful skin lesions in children with neutropenia. These neutrophilic dermatoses, including sterile abscesses and panniculitis, may be linked to G-CSF therapy.
Area of Science:
- Dermatology
- Pediatrics
- Hematology
Background:
- Idiopathic neutropenia is a condition characterized by low neutrophil counts.
- Granulocyte colony-stimulating factor (G-CSF) is used to treat neutropenia by stimulating neutrophil production.
- Neutrophilic dermatoses are inflammatory skin conditions characterized by the presence of neutrophils.
Observation:
- Two children with neutropenia experienced painful skin lesions after receiving G-CSF therapy.
- A girl with cystic fibrosis and cyclic neutropenia developed an erythematous papular eruption.
- A boy with chronic neutropenia developed multiple erythematous nodules.
Findings:
- Skin biopsies revealed sterile neutrophilic abscesses in one child and neutrophilic panniculitis in the other.
- The skin eruptions occurred in the absence of fever or significant neutrophilia.
- These findings suggest a link between G-CSF administration and the development of specific skin lesions.
Implications:
- G-CSF therapy may induce or exacerbate a spectrum of neutrophilic dermatoses.
- Clinicians should be aware of potential G-CSF-induced cutaneous side effects in pediatric patients.
- Further research is warranted to understand the mechanisms underlying G-CSF-associated neutrophilic dermatoses.
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.
Related Concept Videos
Differentiation of Common Myeloid Progenitor Cells
Immunodeficiency Diseases
There are three main causes of immunodeficiency disorders...
Regulation of Hematopoietic Stem Cells
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Cryptococcal Meningitis
Staphylococcal Skin Infections
