Journal of Medical Case Reports (May 2011)

Improvement of platelet dysfunction in chronic myelogenous leukemia following treatment with imatinib: a case report

  • Scheid Christoph,
  • Kochanek Matthias,
  • Nogova Lucia,
  • Rothe Achim,
  • Shimabukuro-Vornhagen Alexander,
  • von Bergwelt-Baildon Michael

DOI
https://doi.org/10.1186/1752-1947-5-215
Journal volume & issue
Vol. 5, no. 1
p. 215

Abstract

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Abstract Introduction In patients with chronic myeloid leukemia, tyrosine kinase inhibitors suppress the BCR-ABL+ clone and often induce complete molecular remissions. Megakaryocytes in such patients have been shown to be derived from the BCR-ABL+ clone, and abnormal platelet function is frequent in chronic myeloid leukemia. However, little is known about the influence of modern targeted therapy on chronic myeloid leukemia-associated platelet disorders. Case presentation We report the case of a massive hemorrhage in a 32-year-old Caucasian man caused by chronic myeloid leukemia-associated platelet dysfunction, which improved after treatment with imatinib. Conclusion This report demonstrates that platelet dysfunction and bleeding disorder in BCR-ABL+ chronic myeloid leukemia can successfully be treated with imatinib. We suggest the monitoring of platelet function in future studies using imatinib to treat patients with chronic myeloid leukemia.