Desensitization to deferasirox in a patient with hemochromatosis. Case report.
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Keywords

Deferasirox
Hemocromatosis
Desensibilización

Abstract

Abstract

Background: Deferasirox is an active iron chelator, used in the treatment of iron overload such as hemochromatosis. Up to 28% may present adverse reactions to said drug. A desensitization protocol for this drug may be useful when there are no other therapeutic options.

Case report: A 52-year-old female with a diagnosis of hemochromatosis who began treatment with phlebotomy, poor response and tolerance, so it was decided to treat with deferasirox 500 mg daily, presenting symptoms of urticaria and angioedema on the third dose. Hospitalization was decided for a desensitization protocol with an initial dose of 0.6mg with a gradual increase in the dose, reaching a maintenance dose of 500 mg per day on the third day.

Conclusion: The rapid desensitization protocol for Deferasirox is useful when there is no response or therapeutic alternative.

 

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References

Exjade (deferasirox) [información de prescripción]. East Hanover, Nueva Jersey: Novartis Pharmaceuticals Corporation; julio de 2020

Jadenu (deferasirox) [información de prescripción]. East Hanover, Nueva Jersey: Novartis Pharmaceuticals Corporation; julio de 2020.

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Bruner KE, White KM. Deferasirox desensitization. J Allergy Clin Immunol Pract. 2016;4(1):171-172. doi:10.1016/j.jaip.2015.09.007

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