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.

Pediatric Dermatology
|December 12, 2001
PubMed

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.

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