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Wasabi nose: an underreported complication of cyclophosphamide infusions
Ginger L Janow1, Norman T Ilowite, Dawn M Wahezi
1Department of Pediatrics, Division of Rheumatology, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, Bronx, New York, NY 10463, USA.
Abstract:
Wasabi nose, a term used to describe the nasopharyngeal discomfort experienced during cyclophosphamide infusions, is a rare phenomenon, previously described in case reports of adult oncology patients typically receiving high-dose chemotherapy regimens. The underlying mechanism by which this phenomenon occurs is unknown. We report four cases of children with rheumatic diseases afflicted by profound nasopharyngeal discomfort secondary to low-dose cyclophosphamide infusions. We additionally review the literature regarding potential medical management of these complications and describe our experience using these interventions.
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