title: Neutrophil dysplasia caused by mycophenolate mofetil.
abstract: Two transplant recipients developed striking morphological abnormalities in their circulating neutrophils while receiving mycophenolate. The changes included nuclear hypolobulation and abnormal clumping of nuclear chromatin and were presumably related to inhibition of guanosine nucleoside synthesis. In both cases the neutrophil abnormalities preceded the development of neutropenia and were thus a sign of impending hematological toxicity. The hematological changes resolved after the drug was discontinued.
authors.affiliation: Royal Brompton and Harefield Hospitals NHS Trust, Paddington, London, UK.
authors.forename: R
authors.initials: R
authors.lastname: Banerjee
authors.forename: O
authors.initials: O
authors.lastname: Halil
authors.forename: B J
authors.initials: BJ
authors.lastname: Bain
authors.forename: D
authors.initials: D
authors.lastname: Cummins
authors.forename: N R
authors.initials: NR
authors.lastname: Banner
mesh_terms: D000328:Adult; D000970:Antineoplastic Agents / Q000633:toxicity; D004791:Enzyme Inhibitors / Q000633:toxicity; D006801:Humans; D008297:Male; D009173:Mycophenolic Acid / Q000031:analogs & derivatives* / Q000633:toxicity*; D009503:Neutropenia / Q000139:chemically induced; D009504:Neutrophils / Q000187:drug effects / Q000473:pathology*
chemical_list: D000970:Antineoplastic Agents; D004791:Enzyme Inhibitors; D009173:Mycophenolic Acid