J Korean Soc Pediatr Endocrinol.  2004 Jun;9(1):81-85.

A Case of Antithyroid Drug-Induced Agranulocytosis Treated with Granulocyte Colony-Stimulating Factor (G-CSF) and Methylprednisolone

Abstract

Although rare, agranulocytosis is the most serious, potentially fatal side effect of antithyroid drug. We experienced a 13-year-old girl who developed methimazole-induced agranulocytosis at 1 month after the initiation of treatment. Her granulocyte count recovered after discontinuation of methimazole and treatment with broad spectrum-antibiotics, G-CSF, and methylprednisolone. After recovery from agranulocytosis she was treated with radioiodine ablation therapy. Early detection and proper management of antithyroid drug-induced agranulocytosis is very important.

Keyword

Agranmulocytosis; Methimazole; G-CSF

MeSH Terms

Adolescent
Agranulocytosis*
Female
Granulocyte Colony-Stimulating Factor*
Granulocytes*
Humans
Methimazole
Methylprednisolone*
Granulocyte Colony-Stimulating Factor
Methimazole
Methylprednisolone
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