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Severe Periorbital Edema Secondary to Imatinib Mesylate for Chronic Myelogenous Leukemia
Jill S. Melicher Larson, MD;
Lance K. Bergstrom, MD;
J. Douglas Cameron, MD, MBA;
Lori A. Erickson, MD;
Terrence E. Grimm, MD
Arch Ophthalmol. 2007;125(7):985-986.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 70-year-old man developed severe periorbital edema secondary to imatinib mesylate (Gleevec; Novartis Pharmaceuticals Corp, East Hanover, NJ). Imatinib mesylate is a tyrosine kinase inhibitor with a high degree of specificity for the BCR-ABL, KIT, and platelet-derived growth factor receptor β tyrosine kinases. It is thought that inhibition of platelet-derived growth factor receptor β results in disruption of fluid homeostasis in the eyelids, resulting in the development of periorbital edema.
Report of a Case
A 70-year-old man developed mild periorbital edema within 2 weeks of starting imatinib mesylate at 400 mg perday for treatment of BCR-ABL–positive chronicmyelogenous leukemia. Three months later, the patient developed accelerated-phase chronic myelogenous leukemia and his imatinib mesylate dose was increased to 600 mg per day. His periorbital edema became significantly worse and visually disrupting. The patient was . . . [Full Text of this Article] Comment
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