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A cutaneous eruption from G-CSF in a healthy donor
A Torrelo1, L Madero, I G Mediero
1Departments of Pediatric Dermatology, Hospital del Niño Jesús, Madrid, Spain.
Insights
Granulocyte-colony stimulating factor (G-CSF) can cause a skin rash in healthy donors. This reaction involves atypical lymphocyte changes, suggesting G-CSF activates lymphocytes, leading to cellular alterations.
Area of Science:
- Hematology
- Dermatology
- Immunology
Background:
- Granulocyte-colony stimulating factor (G-CSF) is used to mobilize peripheral blood stem cells.
- Stem cell collection procedures require careful monitoring for adverse effects.
Observation:
- A healthy 12-month-old donor developed a papular, erythematous skin eruption after G-CSF treatment.
- Histological examination revealed lymphocytes with irregular shapes and mitotic activity.
Findings:
- The observed skin reaction is characterized by atypical lymphocyte morphology.
- These changes suggest G-CSF may activate lymphocytes in healthy individuals.
Implications:
- G-CSF administration can induce cutaneous reactions in healthy donors.
- Understanding these reactions is crucial for managing stem cell donors.
- Further research into G-CSF-mediated lymphocyte activation is warranted.
Abstract:
A healthy 12-month-old donor treated with G-CSF for collection of stem cells from peripheral blood developed a discrete, papular, erythematous eruption which histologically showed irregularly shaped lymphocytes with mitoses. We suggest that such a reaction is due to activation of lymphocytes by G-CSF in a normal host, leading to atypical changes in cellularity.
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