Granulocyte-macrophage colony-stimulating factor-associated histiocytosis and capillary-leak syndrome following autologous bone marrow transplantation: two case reports and a review of the literature

Bone Marrow Transplant. 1998 Jan;21(2):209-14. doi: 10.1038/sj.bmt.1701036.

Abstract

Bone marrow (BM) histiocystosis in association with the administration of granulocyte-macrophage colony-stimulating factor (GM-CSF) is a rare phenomenon with few published cases. We report two cases of BM histiocystosis in patients with Hodgkin's disease treated with GM-CSF after autologous bone marrow transplantation. Both patients also developed clinical features of capillary leak syndrome, another rare complication of GM-CSF administration. GM-CSF-induced histiocystosis should now be considered in the differential diagnosis of delayed engraftment post-autotransplant.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Bone Marrow / pathology
  • Bone Marrow Transplantation / adverse effects*
  • Capillary Leak Syndrome / diagnosis
  • Capillary Leak Syndrome / etiology*
  • Diagnosis, Differential
  • Female
  • Granulocyte-Macrophage Colony-Stimulating Factor / adverse effects*
  • Histiocytosis / diagnosis
  • Histiocytosis / etiology*
  • Histiocytosis / pathology
  • Hodgkin Disease / therapy
  • Humans
  • Hyperbilirubinemia / etiology
  • Male
  • Transplantation, Autologous

Substances

  • Granulocyte-Macrophage Colony-Stimulating Factor